Veteran'S Hardship Waiver Form printable pdf download

SUBMISSION POLICY

The Service Member or Veteran must be currently serving or have been Honorably Discharged from the Military.

The applicant, a resident of New England, must be the service member or eligible dependent.

The hardship must be due to one of the following:

Deployment

Lack of employ ability/loss of income

Military/VA-compensated illness or injury

Natural disaster

The Hardship cannot be caused by:

-Civil, legal or domestic issues, misconduct, or any issues that are a result of spousal separation or divorce

-Financial mismanagement by self or others.

All grants are paid directly to the creditor and not to the applicant.

Ineligible Expenses:

Credit cards, military charge cards or retail store cards

Personal, student and payday loans

Travel, Funeral Expenses

Cable, Internet, or secondary phones

Investigational or cosmetic medical procedures

Taxes

Child support, alimony, or legal expenses

Military debt, or debt owed to a friend/family member

Furniture, electronic equipment or vehicle rentals (unless needed for employment, education or medical reasons)

Down payments on homes, vehicles or insurance deductibles

Reimbursements for items already paid for

Bills obviously due to excessive use or mismanagement

The WTFI and the WTFI Financial Assistance Program reserves the right to make

exceptions on a case-by-case basis to the afore mentioned criteria.

Please complete the Financial Assistance Form below and email it to:

You must include: A copy of your DD214 and of the bills for which you are requesting assistance.

Once we have received your completed application, a representative may contact you to discuss the specifics of the

case and/or to request additional information. This contact does not imply approval of your application. The approval

process normally takes 5-10 business days.

We will contact you as soon as a final determination has been made in your case

Please Note: We are unable to respond to status check requests while your file is being processed. If you have not

received contact from us after ten (10) business days from submitting your application, please contact us.

SECURITY NOTE: To protect your personal information, you should redact (make unreadable) the first five numbers

of your SSAN and any medical diagnoses on forms such as your DD 214 and VA Disability Determination Letter. If

you wish further protection, you can further protect your personal information by using a secure “zip” program such as

7Zip.

Veteran'S Hardship Waiver Form