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Veteran Assistance Request Form

To Qualify for Assistance:
  1. Veterans must have completed their initial enlistment and received an Honorable Discharge, unless they were medically discharged due to service-related conditions.

  2. At this time, eligible Veterans must reside in Mississippi or Tennessee. We are actively working to expand our reach into additional states.

  1. Veteran Information
Date of Birth
Month
Day
Year

*Your last four digits are for internal use only and used to match your request with your existing 5th Squad records and help prevent duplicate files.

*We require a gov. issued photo ID

  1. Service Documentation
Are you currently serving?
Yes
No

Frequently Asked Questions

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