Register
|
Log in
|
Shop Online
|
Donate
|
Join the Legion
|
Legion A-Z
Legion Home
Who We Are
About The American Legion
History
National Commander
Leadership
Preamble
Departments
National Headquarters Divisions
Office Locations
Emblem
Resolutions
Member Discount Programs
Past National Commanders
What We Do
Baseball
Boys State / Nation
Child Welfare Foundation
Citizenship
Conventions and Meetings
Flag Advocacy
Heroes to Hometowns
How to Help
Request Assistance
Resources
Military Homefront
FAQ
Contacts
Legion College
Legion Racing
Legion Riders
Legislative Action Center
Membership and Post Activities
Oratorical Contest
Scouting
Shooting Sports
Sons of the Legion
How We Serve
Family Support Network
GI Bill
National Emergency Fund
National Security
Scholarships
Temporary Financial Assistance
Troop Support
VA Volunteer Services
Veterans Benefits Center
Veterans Career Center
Youth Support
Department Service Officers
Get Connected
Blogs
Join the Legion
Publications
Donate
Library and Museum
Media Center
Membership Management Tools
LegionTV
Find a Reunion
Contact Us
Find a Post
Home
»
Heroes to Hometowns
» Request assistance
How to Help
Request Assistance
Resources
Military Homefront
FAQ
Contacts
Request assistance
Servicemember's information
First Name:
*
Last Name:
*
E-mail:
Phone Number:
*
Location where assistance is requested
Address:
City:
State:
*
select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
Other Information
Gender:
select...
Male
Female
Date of birth:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
2047
2048
2049
2050
Marital status:
select...
Single
Married
Engaged
Divorced
Spouse:
Dependants:
select...
0
1
2
3
4
5+
Branch of service:
select...
US Air Force
US Army
US Coast Guard
US Marines
US Navy
Level of service:
select...
Active Duty
Reserve Duty
National Guard
Medically retired:
select...
Yes
No
Discharged:
select...
Yes
No
Date of discharge:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
2047
2048
2049
2050
OEF / OIF:
select...
Yes
No
Date of injury:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
2047
2048
2049
2050
Injuries:
Amputation
TBI
Blindness
PTSD
Paralysis
Permanent disfigurement
Severe burns
Hospitalization
Multiple surgeries
Hearing loss
Need wheelchair:
select...
Yes
No
DoD Disability Rating:
VA Disability Rating:
Special requests for assistance:
Homecoming celebration
Housing assistance
Government claims assistance
Temporary Financial Assistance
Transportation to hospital visits
Employment assistance
Educational assistance
Entertainment options
Childcare
Counseling
Family support
Military treatment facility
Veterans Affairs medical facility
Additional information:
May we contact you for more information:
*
select...
Yes
No
May we share your information in order to assist you:
*
select...
Yes
No
Heroes to Hometowns is proudly partnered with the United States Paralympics Military Division. Would you like to be placed in contact with a US Paralympics representative for more information?:
*
select...
Yes
No
Legion praises passage of caregiver bill
Dunne steps down as VA under secretary
Camo Quilts comfort troops
American, Canadian military veterans join hands
Dates set for 2010 Legacy Run
Legion Baseball team sends military care packages
Sending holiday gifts to the troops
Three more diseases linked to Agent Orange
More Headlines
Military trying to predict PTSD sufferers
Army lacks guidelines to deal with jihadists in ranks
Coburn threatens to demand health bill reading
Taliban chief hides among Pakistan populace
Wreaths for every veteran
More News Links
Advertisement
Heroes to Hometowns
More video on LegionTV
AMERICANISM
Legislative Action Center
American Legion Baseball
Boys Nation / Boys State
Flag Advocacy
Citizenship
Education
Flag etiquette
Get Out the Vote
CHILDREN & YOUTH
Legislative Action Center
American Legion Baseball
Boys Nation / Boys State
Child Welfare Foundation
Junior ROTC / ROTC
Junior Shooting Sports
Oratorical Contest
Scholarships
Scouting
NATIONAL SECURITY & FOREIGN RELATIONS
Legislative Action Center
Family Support Network
Heroes to Hometowns
National Security & Foreign Relations
Operation Comfort Warriors
POW/MIA advocacy
Temporary Financial Assistance
Troop Support
VETERANS AFFAIRS & REHABILITATION
Legislative Action Center
Benefits Center
Homelessness
My GI Bill
Department Service Officers
Veterans Career Center
COMMUNITY SERVICE
Legislative Action Center
American Legion Auxiliary
Family Support Network
Freedom Car
Legion Riders
Legiontown USA
Media Center
National Emergency Fund
Sons of The American Legion
Temporary Financial Assistance
VA Volunteer Services
© 2009 The American Legion. All Rights Reserved.
Terms & Conditions
|
Privacy Policy
|
Social Computing Guidelines
|
Shop Online
|
Donate
|
Join the Legion
|
Legion A-Z
|
Contact Us
