American veterans foundation
"serving those who have served our nation".
 

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Need Assistance
 

Thank you for contacting our organization. We hope that we can assist you in your time of need.

American Veterans Foundation, is a non-profit 501 (c) (3) tax-exempt organization dedicated in helping to prevent more homelessness among veterans and providing immediate support to veterans who are homeless, in jeopardy of becoming homeless or in desperate need of assistance.   Assistance provided may be in the form of food, shelter, clothing, medical supplies and any other reasonable request.  Assistance is payable to the ie… utility company, landlord, pharmacy etc… in the name of the requesting veteran.  Payments are not made to the individual requesting veteran   The mission of American Veterans Foundation is to assist all honorably discharged veterans with financial support in their time of need. 

 

Insofar as American Veterans Foundation is a new start-up organization we regret that we can only provide services at this time to veterans in the States highlighted in red.  As we grow we will add more states where we will offer a helping hand to veterans.

 

PLEASE CHECK THIS FORM AND SUBMIT IT WITH THE
FOLLOWING REQUESTED INFORMATION
 
At this time please submit the three (3) color photographs, the DD-214 and (if a medical condition) a letter from the Veterans primary physician, case worker or advocate via an email attachment to: amvetsfoundation@aol.com.  (By clicking on the link you will open your Send Email account.)

 

 

   A completed, signed, and dated ASSISTANCE FORM.

   A completed, signed and dated CONSENT & RELEASE FORM.

   A copy of the Veterans DD-214 Form

   A copy of the Veterans Discharge papers

   A letter and supporting documents from the Veterans primary physician or case worker     
        stating the illness, current status and prognosis. (if applicable) Do not fill out the medical
        portion of this Form if the Veteran is not seeking assistance for a medical reasons.    

   At least THREE (3) QUALITY COLOR PHOTOS of the Veteran.

Once the requested information is received, American Veterans Foundation's Board of Directors will review the information and make a determination.  Individual veteran funding is decided by the Board of Directors, on a case by case basis and as funding allows. 

 

ON LINE ASSISTANCE  FORM

 
Veterans Full Name  
Address  
City  
State  
Zip Code  
Email address  
Home Phone  
Work Phone  
Place of Employment  
Position held  
May we call you at work?   Yes        No
If YES.  What is the best time?   AM      PM
Sex   Male    Female
Social Security #  
Military I.D. #  
Date of Birth  
Place of Birth  
Veterans hobbies & interests  

    MEDICAL 
 INFORMATION

 

 

Name of Veterans Primary Care Physician Case Worker or Advocate  
Physician's / Case Workers Address  
City  
State  
Zip Code  
Physicians / Case Worker Phone #  
Physicians / Case Worker Fax #  
Describe Veterans Medical Condition  
 

we reserve the right to request supporting medical documents!

Has this Veteran received help or financial assistance from any other organization or group?  (church group, etc...) (this will in no way affect the Boards of Directors decision as to the assistance you receive)   Yes      No

Name of Organization or Group
 		  
Assistance received  

I agree to notify American Veterans Foundation  immediately of any changes in my home and/or work address and/or phone numbers. 		    Yes      No

Please describe what your most urgent needs are so that the Board of Directors may better assist you. 		 
 

American Veterans Foundation reserves the right to request additional information as needed.

If you are seeking assistance because of or for a medical reason please remember to include a letter and supporting documents from  the Veterans Primary Care Physician, Case Worker or Advocate.

Please remember to include three (3) quality color photo's of the Veteran.

 
 

CONSENT AND RELEASE

By submitting this Assistance Form I hereby agree to indemnify and hold harmless American Veterans Foundation and its officers, agents, employees and volunteers for and against any and all demands, claims, actions, suits, damages, costs and expenses including legal costs and attorney fees arising out of or resulting from the use and dissemination of the information supplied and the help requested and/or granted.  By submitting this Assistance  Form I understand and agree that my likeness and the information contained herein may be used by American Veterans Foundation.

  

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for Mailing and Faxing

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This page last updated 03/11/2010 12:14