Contact Us

Fill out the form below

First name

Phone

Address

Last name

Your email

Military Branch

Years Of Service

What groups have you already asked for assistance?
We work with many groups and organizations in the area, please be specific.

Are you registered with the VA?

If not, and you are eligible, a member of the coalition will assist you with registering.

Have you contacted 211?

If not, a member of 211 will contact you for assistance.

How can the Coalition help you?

Employed?

If asking for assistance, what is your current income?

If asking for assistance other than financial, are you able to assist in any costs incurred?

If financial assistance is given, how will you manage the expense moving forward?

If assistance is provided, proof of Military service will be required.
If financial assistance is given, we do not give the funds to the veteran. We will work with creditors and pay them directly.
Projects are ranked according to the information provided on this form. Please give accurate details and we will review and assess the project.
The VA and 211 are valuable assets in our region. Working with both groups WILL be part of the plan to help you if applicable.
There is no cost for our services. We ask that you join the Coalition’s Facebook page and if possible, join us on future projects and Pay It Forward as we help other Veterans in Need.

Brad Blanchard, Director

Great Lakes Bay Veterans Coalition

Great Lakes Bay Veterans Coalition looks forward to working with you.

Location

(989) 555-5555