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 Today for Superior Service
Contact Us

We're not around right now. But you can send us an email and we'll get back to you, asap.

Not readable? Change text. captcha txt

Start typing and press Enter to search