View/download VSC Application form

View/download Hardship form

View/download Acceptable Expenditures form

Acceptable Expenditures List

  • Please select the VSO/Eligibilty Specialist that you're submitting this form to.
  • If you are in need of Financial Assistance for more than this first visit and you receive income from any source prior to your next VSC visit, you must bring proof of that income and how it was used towards your household on each and every visit for assistance thereafter. If you are not able to account for the income you have had by receipt (or bank activity) and show that it has been used on the below list of acceptable expenditures only (and only for the Veteran and legal dependents), no financial assistance will be granted.
  • I understand the restrictions of the CCVSC assistance, and if assistance is granted will comply with these requirements.
    Use the following link to view the full Acceptable Expenditures List
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View/download Release of Information form

View/download Monthly Household Budget form

View/download Household Verification form

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    General Disclaimer: The CCVSC strives to provide Veterans/Dependents with a safe and secure submission of requests for Financial Assistance and VA Claims submissions. However, electronic submissions have an inherent risk that must be considered by the applicant. If the applicant is uncomfortable submitting their application electronically, they may submit it through DROP-BOX at the CCVSC.
    I acknowledge that electronic submission of application is for my convenience and release the CCVSC of liability should any electronic submission be intercepted or otherwise compromised.