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Apply for Vet Assistance

The Veterans Emergency Fund is for veterans and their immediate family (spouse, unremarried surviving spouse, child or step-child) who are in need of emergency financial assistance who reside in the following areas of Wisconsin:  Outagamie County, Northern Winnebago County, and Calumet County.

Use this form to submit a request for assistance to the Fox Valley Veterans Council, Inc. Please be as detailed as possible so the committee has sufficient information to review. If you would like to speed up the process, please email a copy of your DD -214, along with a copy of any bills you wish to be considered for assistance to and use Veterans Emergency Fund in your subject line, or drop off copies at the Outagamie County Veteran Service Office at 227 S. Walnut St. in Appleton, WI. Phone: 920-832-5697 Fax: 920.832.2473 

You will recieve a confirmation of your request by email, if provided, otherwise by phone.

Please provide as much information as possible so that we can understand your situation and better assist you. Your information will be kept confidential.

*Required Fields

* Your Email: 
How did you hear about SAVE4VETS?  
* Phone number: 
* Please explain what you are requesting help for, and any information you think we need to know to better assist you.
* Veteran’s First Name: 
* Veteran’s Middle Name: 
* Veteran’s Last Name: 
* Your First Name: 
* Your Last Name: 
* Your Relationship to Veteran: 
* Branch of Service: 
* Type of Discharge: 
* May we share your information with other resources that may also be able to assist you: