USA Cares Assistance Application

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Application Notes

NOTE:  Please do not begin your application if you do not have your DD214, LES or Assignment Orders available to upload as you will not be able to submit your application without one of them.

Military Service Member

Military Information

Your rank will not impact the decision to provide you with financial assistance.

This is the date you were discharged from the military.
Note that this is *not* the date of termination of your IRR obligation

If you do not have a current unit please mark N/A

Applicant Information

Contact Information

Enter ONE email address only. Multiple emails will cause the application to fail.

VA Information

Immediate Needs

If you enter more than 1000 characters, your application will have to be manually downloaded which WILL cause a delay.

Keep this limited. Too much data can cause errors.

Documentation Upload

File size cannot be larger than 5 MB or your app will not process. Do NOT continue to hit submit if you get an error on this.
Additional Information
Please Note: The following information is for demographic/internal use only and will not affect the outcome of an application. 

No more than 50 characters, including spaces.