Veteran Resources

Are you an injured combat veteran in need of assistance? Apply today.

Our organization provides financial assistance to honorably discharged veterans with physical or mental impairments resulting from their time in the service. We evaluate each application based on severity and need, prioritizing applicants with the most extreme needs first.

Eligibility

Veteran Assistance Applications are considered on a case-by-case basis, with priority given to veterans in greatest need. To qualify, you must be a combat veteran with lasting physical or mental injuries from your time in the service. While we assist applicants who served in all wars, we prioritize veterans from the War on Terror.

To prove your identity, discharge type, and disability status, you will be required to submit the below supporting documents. Please make sure you have copies of these documents BEFORE you press submit:

DD-214
VA Disability Rating
Photo Identification
Any other supporting documents (can be sent via email)

If you need assistance completing this form or would like more information before moving forward, please email us at courageandsacrificenj@gmail.com.

Veteran Application

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Applicant Name

First Name

Last Name

Applicant Date of Birth

YYYY

Marital Status

Dependents

APPLICANT CONTACT DETAILS

Preferred Contact Method

Phone

Physical Mail

Applicant Email

Applicant Phone

(###)

###

####

Applicant Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

MILITARY SERVICE DETAILS

Military Branch

Last Assigned Duty & Station

Disability/Injury from Service:

ASSISTANCE REQUEST DETAILS

Amount Requested

Explain Reason for Assistance

Hardship Information

Please provide the name of other organization(s) have you requested assistance from and the status of each request.

SUPPORTING DOCUMENTS

DD-214

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VA Disability Rating

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Photo ID

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REFERENCES

Reference Name

First Name

Last Name

Reference Email

Reference Phone

(###)

###

####

Spouse Name (if applicable)

First Name

Last Name

Spouse Email

Spouse Phone

(###)

###

####

Veteran Attestation

I understand that applying for assistance does not guarantee that the assistance requested will be granted. I hereby attest that information contained in this application is true and correct to the best of my knowledge:

I agree to the terms and conditions above.