Assistance Form | Gnd186MCL

Assistance

Request Form

Purpose

This form is to be used by individuals requesting financial assistance from the Marine Corps League – Greater Nevada Detachment 186. All requests must align with the charitable mission of supporting Marines, FMF Corpsmen, and veterans. This form ensures compliance with the detachment's bylaws and 501(c)(3) regulations.

Personal Information

Full Name

Date of Birth

Phone Number

Address

Service Dates

Discharge Status

Assistance Requested

Amount Requested

Describe The Assistance You Need

Supporting Documentation

In this section, multiple documents can be uploaded for each file selection box.

Keep in mind that if you are a veteran you must upload your DD-214 and if you are a veteran spouse we will need your Dependent ID or proof of your dependent status. We also require the primary requester to upload a photo ID.

If married we require both the requestor and the spouse to upload photo IDs.

Proof of Veteran or Veteran Family Status (DD-214 or Dependent ID)

Select File(s)

Estimates or Invoices related to the requested funds (if applicable)

Select File(s)

Proof of Need (e.g. Moving Expenses, Medical Bills, Employment Verification, Etc.)

Select File(s)

Photo ID of Primary Requester (and spouse if applicable)

Select File(s)

Any other documentation that may support your request

Select File(s)

Agreement

By entering my name below, I certify that all information provided in this form is true and complete to the best of my knowledge. I understand that the detachment will review my request in alignment with its mission and bylaws, and that I may be required to provide additional information if necessary. I acknowledge that any financial assistance granted will be used solely for the purpose stated in this application, and I agree to submit proof of how the funds were used if requested by the detachment.

Name of Certifying Individual

Date

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