Program Application for Emergency Financial Relief

You sacrificed. We are here to help.

The mission of the Coalition to Salute America's Heroes is to exclusively assist U.S. servicemen and women who have been severely injured while serving in Operations Enduring Freedom and Iraqi Freedom (or successor operations as defined by the U.S. Department of Defense). To be eligible for Emergency Financial Relief or other forms of aid, such as online career training, applicants must also meet the following minimum requirements:

  • A severe injury sustained in combat, or in support of operations in a hostile environment, in either Iraq or Afghanistan;
  • A disability rating from the VA or DOD of 30% or greater for a single sustained injury;
  • Currently experiencing severe financial hardship;
  • Completion of a Coalition to Salute America's Heroes aid application and timely submission of requested supporting documentation; and
  • Completion of a phone interview with a Coalition to Salute America's Heroes case manager
Please note that while the Coalition wishes we could help all qualified individuals who seek assistance, regrettably we only have limited funds to meet the needs of qualified veterans. Therefore, we can only respond to requests based on our available resources.

Please also note that the Coalition sincerely respects your privacy. The information you provide below will be kept confidential and not shared with any third party.

indicates required field.
 (ie.: xxx-xxx-xxxx)
 (ie.: xxx-xxx-xxxx)
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NOTICE

The completion of this application does not guarantee the awarding of emergency financial assistance from the Coalition to Salute America's Heroes.

Please note that while the Coalition wishes we could help all qualified individuals who seek assistance, regrettably we only have limited funds to meet the needs of qualified veterans. Therefore, we can only respond to requests based on our available resources.

The applicant agrees that the name appearing in the signature block below is the true and legal name of the applicant and serves as an electronic "signature" to this application. Further, the applicant attests to the fact that the information contained herein is true and accurate to the best of the applicant's knowledge.

Full name

Coalition to Salute America's Heroes
12 Godfrey Place
Wilton, CT 06897
(914) 432-5400
www.saluteheroes.org