Veteran Support Grant Application

Name(Required)

First Last

Name of Organization, if applicable

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Phone(Required)

Branch of Military(Required)

Years Served(Required)

Tell us about you and your need.(Required)

Be detailed, explain your qualification, situation, and what your specific need this grant request is for:

Proof of Military Service (DD214, NGB Form 22, current LES, discharge paperwork, speration report, or other veteran status verification):(Required)

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Max. file size: 512 MB, Max. files: 20.

Proof of Michigan Residency (Driver's license, voter registration, or state ID):(Required)

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Max. file size: 512 MB, Max. files: 20.

Monthly income and expense statement (itemize all monthly income and expenses):(Required)

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Max. file size: 512 MB, Max. files: 20.

Suggested template for a monthly income/expense statement can be found by clicking here. Save the file, complete the required fields, and upload in the space above.

Proof of Income (3 months of income, from all sources: current employment, disability, social security, military pay, spousal income, etc):(Required)

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Max. file size: 512 MB, Max. files: 20.

Proof of all household expenses (2 months, all expenses: mortgage, rent, utilities, grocery, internet, cable, phone, insurance, child support, etc):(Required)

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Max. file size: 512 MB, Max. files: 20.

Copy of bills, quotes, and needed expenses related to this grant (what bills you are needing assistance with):(Required)

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Max. file size: 512 MB, Max. files: 20.

Up to date billing statements, in the name of the veteran or dependent, showing amounts owed current within 30 days of the application. For repairs to automobiles: Two estimates from state licensed and insured mechanics, proof of state licenses for both mechanics, proof of insurance for both mechanics, proof of automobile insurance, and proof of registration. Insurance proofs must be sent from the contractor's licensed insurance agent directly to vsg@ngam.org For home repairs: Two estimates from state licensed and insured contractors, proof of state licenses from both contractors, proof of insurance for both contractors, proof of workers compensation insurance for both contractors, copy of your most recent property tax bill, proof of the current value of your home, proof of your monthly mortgage payment amount, proof of mortgage interest rate, and proof of balance owed on mortgage. If you have no mortgage provide proof of a mortgage release. Insurance proofs, including workers compensation insurance. must be sent from the contractor's licensed insurance agent directly to vsg@ngam.org For rental assistance: Proof of the length of the rental agreement, proof of the amount of the delinquency, letter describing the cause of the delinquency, and rent account statement signed by landlord or rental agent. Rental agreements are not proof of delinquency.

Additional Supporting Documents

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Max. file size: 512 MB, Max. files: 20.

Explain your need and the amount of that need. One expense per line and be specific, ie. Car repair- $900, roof repair- $7,000, delinquent rent- $2,000 , etc) Each of these request must have a copy of the bill or quote uploaded above.(Required)

I understand all required documents must be submitted in order for my application to be processed within 60 days. Accuracy of my application, including all supporting documents, are my responsibility. Missing information can possibly delay or lead to a denial of my application.(Required)

I Agree

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