Veteran Assistance Application

SAVCO Veteran Assistance Fund Application

The SAVCO Veteran Assistance Fund provides a one-time gift of up to $500 to veterans or widows/widowers of veterans who reside in Sedona, VOC, or the Sedona Fire District in need of short-term financial assistance owing to unexpected or extraordinary circumstances. Maximum amounts may be exceeded due only to urgency of the need and with the unanimous approval of the committee and the SAVCO Board. Payments will be made to pay specific bills and not paid directly to the applicant.

This form must be completed and submitted explaining the need for assistance. All information is subject to verification and will be held confidentially. A copy of the applicant’s DD214 must be submitted with the application along with documentation showing who the payment is to be made out to and the amount owed. Prior to final approval SAVCO may ask for further financial statements as required.

Complete the form below and submit all pertinent documentation. You can download a copy of the form and complete manually. Please return application and supporting documents to director@SAVCO.org or SAVCO P.O. Box 3733, Sedona, AZ 86340. Contact Don Hallford, phone 385 333-6544 with any questions.

Click HERE to download form.

Please enable JavaScript in your browser to complete this form.

Application Information

Date / Time

Date

Time

Applicant's Name

First

Middle

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Date of Birth

Phone

Own Home
Rent
Care Facility
Homeless

Spouse's Name

First

Last

specific, Address Type

Spouse's Occupation

Phone

Military Service

Branch of Service

From/To

Rank at Discharge

Type of Discharge

If other than honorable, explain:

Employment

Company

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Supervisor

Job Title

Salary/Wage $

Description of Need

Purpose for which you are requesting aid. Please be specific, attach documentation showing who payments are to be made out to, amount of funding needed and contact information.

One request for an additional award may be granted by the committee. For all renewals, the applicant follows the same procedure required for the original application. Renewals are evaluated on their own merits.

If a renewal request, explain what you have done to improve your situation since the original gift was granted.

Please provide any additional information that is relevant to your request for funds.

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.

Signature

Clear Signature

Date

SAVCO Verified DD214

Date

File Upload

Click or drag a file to this area to upload.

Save and Resume Later

SAVCO

P.O. Box 3733, Sedona, AZ 86340

(860) 705-2163