NSF Assistance Request Form
Please have a copy of the Service Member's DD-214 available for submission.
Please fill out the form to the best of your ability.
Direct any questions to info@navysealsfund.org.
Please enter your Full Name: *
Your answer
What is your relationship to the Service Member? *
Your answer
Enter the Service Member's Full Name *
Your answer
Enter the BUDS Class Number of the Service Member: *
Your answer
Enter the Unit(s) the Service Member was assigned to: *
Your answer
What is the military status of the Service Member? *
Time in Service (enter - discharge dates) *
Your answer
Enter your contact phone number: *
Your answer
Enter your email address: *
Your answer
Enter your physical mailing address: *
Your answer
Enter your average monthly income over the last year: *
Your answer
Enter your current monthly income: *
Your answer
Enter your monthly expenditures: *
Your answer
What are your immediate needs? *
Your answer
What additional needs would alleviate the hardship? (i.e. equipment to assist with disability, job training or certification) *
Your answer
What caused the hardship? *
Your answer
What other resources have you accessed to alleviate the hardship? *
Your answer
Are you having problems accessing the Service Member's benefits with VA, Social Security, Military Pay?
Submit
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