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I am a Veteran

Are you a veteran facing difficulty after retiring from the military?
Please complete the form below and we will contact you in regard to your needs.

Name *

First

Last

Email *

Phone Number *

Street Address Line 1 *

can initiative Emergency

Street Address Line 2 *

City *

State *

Zip Code *

Are you a veteran with Honorable Discharge DD214 Documentation? *

Yes
No

Do you qualify for disability? *

Yes
No

What is your service-connected disability rating? *

Less than 50%
More than 50%
I do not have a service-connected disability rating

Which initiative do you need assistance with? *

Housing
Automotive
Veteran Owned Small Business
Community Development

Please share how you believe V2 can assist you.

Are you a homeowner? *

Yes
No

Military Rank

Skills or Areas of Expertise

Emergency Contact Name *

Emergency Contact Number *

Terms and Agreement *

I understand and agree to the terms.

In checking the box above, you agree and confirm that all submitted information are true and accurate. You acknowledge that we may confirm your service and any information we receive.

V2 Services and Support is a tax-exempt 501(c)(3) nonprofit organization.

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Home
Our Initiatives
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- Volunteer Application
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Contact Us

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