Operation Enduring Support Application

Operation Enduring Support Application

For Crisis Assistance
Service Member's Name and Rank.*

RankFirst NameLast Name
As the person filling out this form, I am:*

The active duty service member named on this applicationThe spouse of the active duty service member named on this applicationA command representative (CO, XO, Senior Enlisted Leader, FRG Leader, DRC, URC, Unit Adjutant, or Chaplain) initiating crisis support for an active duty family.A Gold Star Spouse or Guardian of Gold Star Children up to age 17

Service Member Contact Information

There is another section to add your information if you are a spouse or command team rep. If you are a Gold Star family member, please use your own information here.
Service Member or Gold Star Family Member's Phone Number*

Area CodePhone Number
Service Member or Gold Star Family Member's Work email*
Your .mil email address is used to verify active duty service.
Service member or Gold Star Family Member's Personal email*
Your personal email address. After initial verification, this is the email address we will use to communicate with you.
Service Member or Gold Star Family Member's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Spouse or Gold Star Family Member Information

PLEASE LEAVE ANY PORTION THAT IS NOT RELEVANT TO YOU BLANK/SKIP
Spouse or Guardian Name

First NameLast Name
Spouse or Guardian Phone Number

Area CodePhone Number
Spouse or Guardian Email Address
example@example.com
Spouse or Guardian Address if Different from Service Member

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Command Team Representative Information

Used to confirm service when necessary and, in some cases, work to support in emergency situations.
Name of Command Team Representative. Gold Star families, please provide your benefit caseworker contact info.

First NameLast Name
Rep/Command Phone Number

Area CodePhone Number
Command Team/ Rep Email (.mil or .va.org)
example@example.com
What is the role of the Command Team Rep Above?

Commanding OfficerExecutive OfficerSenior Enlisted LeaderChaplainFRG Officer/DRC/URCUnit adjutantMFLC or Unit Counselor with PermissionCACO or VA Rep

Need for Crisis Assistance
In 1-4 sentences, please tell about the situation/ need for crisis assistance.*
Our Operation Enduring Support program is strictly for emergency/ crisis situations. We do not assist with debt, financial issues due to budgeting, help with car payments, etc. We do NOT share the information you provide with the public. This is purely to understand how we can help.
Please give us any background information that will help us understand the situation.
Please tell us how you hope we will help. *
This is an opportunity to tell us what, specifically, you need. If clothing, shoes or diapers are needed, please include sizes.
Please list the service member's dependents. (spouse, dependent children 17 and under)*
Please tell us the ages, gender and any special needs of dependent children involved. Please let us know if the family is geographically separated.
Should gift cards help your family, please give us a list of local stores where you could use gift cards.
Grocery stores, gas stations, places to buy clothes, shoes and household goods, etc.
Service members and spouses: Has the command, chaplain, family/unit/deployment readiness officer been made aware of your situation/need? Please tell us who has been contacted and any course of action they've helped you take. If we are your first course of action, just write "n/a" here.
This helps us know what resources you may have already been given as we help your family.
Have you applied for help or received help from any other non-profits or agencies? If so, please tell us who you contacted and their response. If we are the only ones who you've contacted, just type "n/a" here.
This does NOT prevent us from helping. It helps us know what kind of help has been received as we shape our own response.

Documentation for Proof of Service

We take the Stolen Valor Act very seriously, therefore we ask for all applicants to provide proof of service. Please know that we protect your privacy at all times. We NEVER share your PII to include names, contact information, details of your situation, address or unit with the public. Only our Executive Director and President see your application and LES. Our Board of Directors decide collectively how to respond based on a synopsis (names removed) by the Executive Director.
ACTIVE DUTY: Please attach a copy of your most current LES statement. GOLD STAR FAMILIES: please attach a copy of your DD 1300. COMMAND REPS REQUESTING EMERGENCY SUPPORT: please attach a photo of your business card or a document with the following: Your name, best contact information, your title and any details you can provide to give us a picture of how we can help given the emergency application. *

Browse Files
This is used to confirm service and help us determine how to help if financial help is approved. If a command rep, your document will initiate the application if not already approved by phone. Cancelof
After your application is approved, here is our typical course of action:

1. Our first choice is always to use the resources we have to help, most times this is done without the public's knowledge at all.

2. Should we find that the need is greater than the resources we have available, our next line of "attack" is to put out pleas for help. In this stage of action, our requests are general and intended to collect more donations as needed.

3. On rare occasions, when a family's need is great or, when multiple families are affected, we may ask permission to issue family specific "action alerts." These are social media and donor pushes that give a little more info to be able to help us meet specific needs. No PII (personal identifiable information) like names, addresses, contact info, unit, etc. is shared.

Here is an example action alert: "ACTION ALERT: A military family of 3 in CA has lost their home in the fires. We are currently collecting gently used furniture (2 twin beds, queen bed, table/chairs, living room furniture), clothing (size 4T girls, size M womens, and size XL mens), Visa/Amex gift cards and online donations to be able to help them recover as much as possible. Donations may be dropped at XYZ locations and online donations may be made through the following link: XYZ"

We will never post action alerts without your permission.
Should the need arise to help your family, do you give permission to OHH to post/share action alerts? These are family specific alerts we only use if we feel we need to push out more information for donors to respond. No personal identifiable information is ever shared.*

Yes, I give permission to OHH to share action alerts (no names used) for my family's needs if they feel it will help my family.No, I prefer not to share my family's needs via action alert. (OHH will respond with resources on hand).
Please sign below to confirm that all the information you have provided above is correct. *

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Operation Enduring Support Application

Service Member Information

Service Member Contact Information

Spouse or Gold Star Family Member Information

Command Team Representative Information

Need for Crisis Assistance

Documentation for Proof of Service