Eligibility Determination and Denial of Assistance 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the applicant information section. Provide your name, relationship to the veteran, and contact details including phone number and email address.
3. Indicate whether you are the veteran and answer questions regarding eviction status and unemployment. This information is crucial for assessing your eligibility.
4. In the service information section, enter details about the veteran's rank, branch, dates of service, and type of discharge.
5. Select areas where you need assistance by checking appropriate boxes. Be specific about your needs such as rent or car repair.
6. Complete the income statement section by listing all sources of income for household members over the last 30 days or declare zero income with supporting statements.
7. Review all entered information for accuracy, sign, and date the application before submission.
8. Submit your completed form via email, fax, or Dropbox as instructed in the document.

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