Veteran Information * First & Last Name Service branch & dates of service How (the Veteran) would like to be addresses? (Title/Pronoun/Nickname/etc...) Where are they located (City & County) Reason for the request (Tell the story) * What specificaly they are requesting assistance with and when do they need it by? * Best way to communicate directly with the Veteran if contact is to be made with the Veteran (Cell/Text/Email and contact info) * Person making the request (if not the Veteran) Name, organization and contact information Do you have proof/verification of service available? (Department of Defense Form 214 (discharge documentation), Current service records, VA ID card, Vendor Inquiry System, Hospital Inquiry Information, Other verification of service accepted on a case-by-case basis.) Any Other Information? Any specific information such as Veteran service organization memberships or clubs, combat service, or service connected information please add it to the request. Thank you for entrusting our coalition with your request. Please follow up with us if you have not received support within the next 3-5 days.
