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HOTH Veteran's Assistance Application_07-29-2018

For veterans that have SC Disabilities, meet criteria and in need of assistance.  Please click HERE for information on the HOTH Veteran's Assistance program.


(7/29/2018 updated mailing address)

Help On The Homefront (HOTH) is a volunteer outreach program that may provide one-time financial support and assistance to U.S. Armed Forces veterans who are experiencing a hardship that is related to a Service Connected disability; whether injury, illness and/or PTSD.  The existence of Service Connected disability must be documented and verified by the U.S. Department of Veterans Affairs and/or the Department of Defense. 

This assistance may also be available to an immediate family member (mother, father, sibling, son or daughter) of a U.S. Armed Forces member who is or qualifies as a Gold Star Family member.  Assistance may also be available to an immediate family member who is, or qualifies as a Blue Star Family member of a deployed active duty soldier who is currently serving in a theater of combat operations.

If these criteria are met and the veteran is experiencing a particular financial hardship, he or she may fill out an application for HOTH Veteran’s Assistance where a determination will be made if he or she may qualify for any financial help.

After reviewing a veteran’s request for assistance, a referral to other agencies for support with counseling, financial management or benefit application may take place.

All cases are reviewed individually and are based on merit. 

Qualification guidelines for HOTH Veteran’s Assistance:

  • Currently receiving VA Service Connected or DOD Service Connected disability benefit
  • Must have been discharged under other than Dishonorable conditions

Veteran and/or their Case Worker must be able to supply the following for processing the application:

  • Thoroughly completed HOTH Veteran’s Assistance Application form
  • VA and/or DOD documentation reflecting the percent Service Connected disability currently being received
  • DD-214 - which must be fully readable
  • Most recent 2 months bank account statements
  • Copy of legitimate invoices, quotes, etc. relative to the basis of the request for assistance


The HOTH Veteran’s Assistance Application updates periodically so please make sure you are using the most recent application.  Please do not send photos of application or additional requested paperwork.

Note:  This form requires the use of Adobe Reader DC for full form functionality.  Adobe Reader DC is free and easy to install.  This form may or may not work with other PDF software.


In order to utilize the fillable fields via computer, you must download and save this form to your computer, close all forms that are open, THEN open the saved form from the saved location.   


Click here to download Adobe Reader DC

Completing this Veteran’s Assistance Application on a computer will automatically calculate totals in the financial section, and duplicate fields will self-populate.

HOTH Veteran’s Assistance Application_07-29-2018


Please submit the completed application and copy of the veteran’s DD-214 as follows (Social security number on the DD-214 may be blocked out):

•  Email to: with a copy of the veteran’s DD-214, also list veteran’s First & Last Name in the “subject line” of the email.

•  Fax to: 888-796-6594 with a copy of the veteran’s DD-214, also list veteran’s First & Last Name on the Fax cover sheet.

•  Physically mail with a copy of the veteran’s DD-214 to:  

Attn: HOTH
P.O. Box 637
Wappingers Falls, NY 12590

 (click on flyer to download)

HOTH Assistance Flyer Rev C



PGRNY is an all volunteer 501c3 organization

Donations support our mission of

honoring the fallen and Veterans

and are tax deductible.

Checks payable to Patriot Guard Riders of NY may be sent to:

PO Box 637

Wappingers Falls, NY 12590

Or you may donate by credit card or Paypal

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Use AmazonSmile and a portion of the sale goes to PGRNY.

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