Jessie Martinez DAV Chapter 50 VTF GRANT APPLICATION 2026/2027
Veteran Needing Assistance? Fill out form below
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
What type of assistance are you needing
*
Please be specific; food cards not to be used for tabacco/alcohol
Estimated total of assistance needed
*
Client is responsible for obtaining estimates
Your Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Are you a Colorado Resident?
*
yes or no
Do you have a copy of your DD214 Form
*
yes or no
DAV Sponsors Name:
person helping you: Name
Last Name
Your Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Gender & Ethnicity
*
Please Select
1. I am a member of an ethnic or racial group
2.I am a native American.
3. I am a woman.
4. I am a man
5. I am both a woman and Native American
6. I am both a woman and a member of an ethnic group
Required from DMVA to be included in application
LGBTQ identification:
*
Please Select
I do not identify as LGBTQ
I Identify as LGBTQ
Required from DMVA to be included in application
Have you been Justice involved. (ie been arrested within the last 5 years)
Please Select
YES
NO
Are you over 65 years of age?
*
YES
NO
Save
Submit
Client is responsible for obtaining all documentation ie. lease, DD-214, Copy of Your Bill, Proof of residency.
If a veteran believes they have been discriminated against or would like to file a compliance in relation to the Veterans Trust Fund Grant, Please contact Lisa Stamm, DVA Grants Manager @ lisastamm@dmva.state.co.us
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