Emergency Assistance Funds

Douglas County is the recipient of a state grant providing emergency assistance to veterans struggling with housing (mortgage and rent payments), transportation, employment, healthcare and other emergency needs.

To apply for the veteran’s assistance funds please fill out the form below.

Veterans Emergency Assistance Application

Date
MM slash DD slash YYYY
Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone*
Email*
Verification
DD214 - other than Dishonorable Discharge
Accepted file types: pdf, Max. file size: 50 MB.
Please attach copy of DD-214 . Only pdf files will be accepted.
Douglas County Resident
Accepted file types: pdf, Max. file size: 50 MB.
Please attach a copy of any of the following: Driver's License; Property Tax Receipt, Utility Bill, etc. Only pdf files will be accepted.
Bill or mortgage statement or lease agreement (Vendor will be paid directly). Only pdf files will be accepted.
Accepted file types: pdf, Max. file size: 50 MB.
What is your short term emergency financial request?*
What is your long term plan or solution to your current financial situation?*
Acknowledgment and Acceptance
By typing my name below I acknowledge that all gift cards and food cards are to be used only for healthy foods or other specifically designated items. This excludes the purchase of all alcohol and tobacco products. I agree that I will mail a copy of my purchase receipts to the Douglas County Office of Veterans Affairs no later than seven (7) days of the purchase on the issued gift card or voucher.
Veteran's Name*

Your County

Veterans

01.

Help Me With...

02.

03.

Veterans

Emergency Assistance Funds

State Grants

Veterans Emergency Assistance Application

Verification

Acknowledgment and Acceptance