Helping Our Heroes

  • Date Format: MM slash DD slash YYYY
  • This is just a check list of the items needed for eligibility.
  • You may take a pictures with your phone and upload those images here.
    Drop files here or
    Accepted file types: jpg, png, gif, pdf.

  • Discharge must be honorable/General/General under Honorable Conditions

  • (i.e. copies of bills, estimates for car repair, dental work, receipts for clothing to purchase, etc.)
    Drop files here or
    Accepted file types: jpg, png, gif, pdf.

  • Assistance Requested:

  • Veteran must provide rental agreement and / or mortgage information
  • Veteran must provide copy of bill in veterans name.
  • May be used for food/personal hygiene items/baby items and pet food. Not to be used for alcohol, tobacco or lottery products. Veteran must sign statement stating voucher not to be used for alcohol, tobacco or lottery products.
  • May be used for gas/bus passes and car payments. Must have lien holder information for car payment, and valid Driver's License, registration and proof of insurance for gas voucher.
  • Estimate for vehicle repair or parts necessary for safe drivability. Must have valid Driver's License, registration and proof of insurance.
  • Must be doctor-ordered medication in veterans name.
  • Copy of death certificate and quote from funeral home.
  • Clothing assistance necessary to become or remain employed to go to school or replace lost or damaged items. Tools and licensing to become or remain employed or to replace or obtain Driver's License or ID.
  • Must have quote from dental office for procedure.
  • Please fill in the field, with the items you need.

  • I give my permission for this agency to request/release information necessary to receive benefits from this request. I further give my utility vendor and landlord/mortgage holder permission to release my account information to the agency. I understand assistance is in the form of voucher or direct payment by mail to vendor.
  • Date Format: MM slash DD slash YYYY

  • Affidavit

  • I, attest that I will not use my Winco/Chevron gift card for any other purpose, but to purchase food, personal hygiene items, toiletries, baby items, pet food and fuel.

    Food/Gas vouchers may not be used for alcohol, tobacco, or lottery products.

  • Date Format: MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.

Located in Downtown Vancouver WA

Serving Veterans in the Clark County:
Vancouver WA | Camas | Washougal | Ridgefield | Woodland | La Center | Longview | Portland OR

Contact Us Today for Superior Service
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