Veterans LGBTQ+ COVID-19 Recovery Fund

Thank you for applying for assistance through the Veterans LGBTQ+ COVID-19 Recovery Fund which is designed to serve LGBTQ+ Veterans and their family members. In order to complete your application, you must respond to all of the questions listed below. If eligible, you will be contacted by a Case Manager to discuss your application further.

Veterans LGBTQ+ COVID-19 Recovery Fund

  • General Information

  • Date Format: MM slash DD slash YYYY
  • Please complete this question. If you are a child, spouse or caregiver of a Veteran, please provide the demographic information as it relates to the Veteran.
  • Household Information

  • Please enter a number greater than or equal to 1.
  • Only specify if you selected "Other" above
  • Military Service Information

    Please complete the following information. If you are a child, spouse or caregiver of a Veteran, please provide the information as it relates to the Veteran.
  • Please select the branch of your service (or of your military spouse/family member)
  • Income Information

  • If none, enter 0.
  • If none, enter 0.
  • If none, enter 0.
  • If none, enter 0.
  • Household Ages

    How many household members are:
  • Please enter a number greater than or equal to 0.
  • Please enter a number greater than or equal to 0.
  • Please enter a number greater than or equal to 0.
  • Please enter a number greater than or equal to 0.
  • Please enter a number greater than or equal to 0.
  • Please enter a number greater than or equal to 0.
  • Other Household Information

    How many household members are:
  • Please enter a number greater than or equal to 0.
  • Please enter a number greater than or equal to 0.
  • Please enter a number greater than or equal to 0.
  • Please enter a number greater than or equal to 0.
  • Miscellaneous

  • This field is for validation purposes and should be left unchanged.