Form Name: Acceptable Expenditures List Investigator Name: Carly Wilder Click below to preview the form. Acceptable Expenditures List VSO/Eligibilty Specialist*Please select the VSO/Eligibilty Specialist that you're submitting this form to.Select an investigator from the listJeanne BellAdam BoeyJoAnne BoulterJason ConradIris DeHartTeressa DelaneyKimberly J. DumasGeniece GarnerMelinda HalliburtonJeffrey KobzaRobert McEndreeAlbert MitchellDavid ParolineAshlee RealeCarrie ReeseJohn RosineAnna SantiagoDonald SchillingPatricia SmithRebecca StacyBernard TorianKaley WebbCarly WilderFeronne WilliamsRahmin WrightIf 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.Veteran / Applicant Digital Signature*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 Date* MM slash DD slash YYYY Email* HiddenForm TestAdd your email below to receive a sample of the form submission notification email.HiddenName First Last
