Emergency Assistance Eligibility

Are you a Veteran or Active Duty Service Member?

Name*

First Last

Email*

Phone*

Branch of service:

Type of Discharge:*

Please explain discharge status:

Are you a member of The American Legion?

What Post #?

Do you have children under the age of 17?

How Many

I need funding for the following:

Tell us who you are:*

Please explain your relationship to a Veteran or Active Duty Service Member:

Veteran Branch of service:

Type of Discharge:*

Please explain discharge status:

I am a member of:

What Unit #?

What Squadron #?

Do you have children under the age of 17?

How Many

I need funding for the following:

Emergency Assistance