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  • Nation of Patriots: Veteran Financial Assistance Application

    Note: Providing altered or falsified documentation will result in immediate applicant disqualification!
  • Supporting Criteria:

    • Must have a VA disability rating of 50% or more
    • Must have been discharged under Honorable Conditions.
    • Must have at least one (1) legal dependent.

    Veteran Must Be Willing to Provide:

    • Photocopy of their state issued ID (driver’s license or state ID)
    • Contact information to a Military/VA Case Worker/Mental or Physical Health Counselor Point of Contact
    • DD-214 (block out SS#)
    • VA Disability Award Letter
    • Copies of most current bills due
    • Proof of dependent (Marriage Certificate, Birth Certificate, etc.)

    Assistance could take 3-4 weeks. Cases are handled on a first come first serve basis

    • Applications are preferred via this online form (fastest processing)
    • No cell phone or camera pictures of application or additional documents will be accepted
    • Upon completion of the final approval process, a check will be sent out directly to the creditor
    • The application must be complete. An incomplete application cannot be processed. 
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  • Veteran Service and Background Information

    Tell us about yourself
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  • If service connected, please provide connected rating: *%

  • Support Goals and Objectives

    Tell us how we can assist you
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  • Grantee Sponsor

    Necessary contact for validation and confirmation purposes
  • Attachments for Vetting and Validation

    We need to make sure you are you. Please block out sensitive ID and account numbers.
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  • Certification of Applicant Information

  • I certify the above information to be true and correct. I authorize verification/release of the information that I am providing on this application. Disclosure of information on this form is voluntary. Failure to provide the requested information, however, will prohibit the processing of this application. In accordance with applicable laws, Nation of Patriots will maintain confidentiality regarding the application and any aid given or denied except as required to process this application, or as otherwise required by law.

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