VETRIX | Veteran Housing Grant Application

REQUEST AN APPLICATION FOR HOUSING STABILITY GRANTS

Please complete the form below to request housing assistance. After we receive your request, a Vetrix team member will contact you to begin the intake process and provide instructions for submitting any required documentation.

Submitting a request does not guarantee approval for a Housing Stability Grant.

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Full Name

Phone

Preferred method of contact

Are you a veteran?

Branch of service

Military status

Discharge status

Current housing situation

Geographic location

How soon do you need assistance?

How did you hear about Vetrix?

By submitting this form, I understand that this is a request for housing assistance and is not a guarantee of financial assistance. I authorize Vetrix to contact me regarding my request and understand that additional information and documentation may be requested as part of the intake process.

I acknowledge and agree to the above.

Your discharge status does not disqualify you from being eligible to receive housing stability grants.

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