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Veterans Affairs General Relief Secure Submittal

Please use this form to upload documents securely. All file uploads using this form will be encrypted during transmission.

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    Completed Veterans Affairs General Assistance Application:

    Valid Picture Identification:

    Social Security Card:

    Income Verification for Each Household Member:

    Previous Three Months of Banking & Investment Statements for Each Household Member:

    All Bills for Each Household Member:

    Additional Documentation: