Request Assistance

State 48 Veterans Association offers financial assistance for utilities, groceries, and other urgent needs for Arizona veterans.

Required documents and questions are listed below. Please redact sensitive personal information such as Social Security numbers before submitting.

Review our Privacy Act Statement to learn how your information is collected and used.

First Name *

Last Name *

Email *

Phone *

Service *

Current Status *

Required documents

Each item needs its own attachment (PDF, JPG, PNG, or HEIC — 10 MB max each).

1) Proof of service in US Armed Forces *

Example: DD214, military ID, or other official service documentation.

2) Proof of AZ residency *

Example: Arizona driver license, state ID, utility bill, or lease with your Arizona address.

3) A copy of invoice / bill *

Upload the invoice or bill related to the assistance you are requesting.

4) Estimated monthly income and estimated monthly debt *

Enter both estimates on one line.

5) Summary of current financial situation (what happened?) *

6) Brief explanation of “Get Well” plan *

7) Testimonial agreement *

I agree to provide a testimonial if State 48 Veterans Association is able to help me.

If we are able to assist you, we will email a private link so you can share a short testimonial for our website.

Additional supporting documentation (optional)

Optional extra files that support your request. PDF, JPG, PNG, or HEIC.