Application for L.O.V Assistance 
Thank you for applying for assistance through L.O.V Inc. Although we wish to help every veteran we meet, funding is limited. Filling out this application does NOT promise that you will receive financial assistance. L.O.V reviews applications once a month and support will be given based off of severity and current funding. We ask  all veterans who receive assistance from L.O.V to write a testimonial to advance our mission of helping local veterans. 

In addition to this application, you will need to email your DD-214 or Service-Connected ID to loveourveteransinc@gmail.com. Please black out your social security number. 

We look forward to meeting with you! 
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Email *
First Name
Last Name
Date of Birth 
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DD
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YYYY
House Address
City
State Zip
Phone
Email
Branch of Service 
Date of Discharge
MM
/
DD
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YYYY
Dispatch Type
MOS Classification
Where Did You Serve?
Total Years of Service/Final Rank
Do you have a disability Rating?
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Are you Currently Employed? If so, How Long?
Are you employed?  If yes where, if no list financial assistance.
How did you hear about us?
How can we help you?
By typing your full name below, you agree that the information in this application is accurate and truthful to your knowledge. Your information is safe with us and will only be shared among our board members.  *
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