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 mortgage agreement, rental agreement, eviction notice, or looking for housing.
  • Veteran must have disconnect/final notice in Veteran's name.
  • Not to be used for alcohol, tobacco or lottery products.
  • Bus pass or gasoline if needed; for gas, must have valid license, registration, insurance, in Veteran's name.
  • Must be doctor-ordered medication in Veteran's name.
  • Copy of death certificate and quote from funeral home.
  • Assistance necessary to become or remain employed.
  • Necessary for employment/medical. Must have license, registration, and insurance, in Veteran's name.
  • Emergency dental treatment as recommended by the Free Clinic of SW Washington.
  • To prevent auction and loss of items, must have final notice.
  • Must show need for assistance.
  • Must show enrollment in college, university or approved trade school in Washington State.
  • *PLEASE SEE POLICIES AND PROCEDURES FOR ALL REQUIRED ELIGIBILITY DOCUMENTATION.

  • Veteran's Certification

    I have no assets or other resources to meet the needs identified above. I have been a resident of Washington State for at least one year and live in Clark County. I certify that the information I have provided is complete and accurate. I understand that I may be subject to criminal prosecution if I have knowingly provided false information.

    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 permission to release my account information to the agency. I understand assistance is in the form of vouchers or direct payments to vendors.

  • I have no assets or other resources to meet the needs identified above. I have been a resident of Washington State for at least one year and live in Clark County. I certify that the information I have provided is complete and accurate. I understand that I may be subject to criminal prosecution if I have knowingly provided false information.


    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 permission to release my account information to the agency. I understand assistance is in the form of vouchers or direct payments to vendors.

  • 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

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