Pickaway County Veterans’ Services Financial Application Packet

Pickaway County Veterans’ Services Financial Application Packet

Forms require Adobe Acrobat Reader, a free download. 
To apply for financial assistance, you must have a copy of each item listed below. Call 740-474-3650 to schedule an appointment after you have obtained all completed items on the list below. You must bring a copy for our office of each item. These copies will not be returned to you and will become part of our file. Applications will not be taken or considered without the necessary documentation, all forms must be complete and submitted at the time of the application.

Bring one copy of each of these items listed below for our files to your appointment:
  1. A copy of these completed and signed cover sheets.
  2. A copy of all your DD-214’s - if you have applied for assistance from our office before, we will have your DD-214’s and you do not need to bring them again. You must have an honorable or under honorable (general) character of service, which must be visible on the DD-214 copy.
  3.  A copy of proof of you being a bona-fide resident of Pickaway County for at least 90 days.
  4. A copy of your current (not expired), valid Ohio photo identification.
  5. A copy of your Marriage Certificate (if you are married), Divorce Decree (if you are divorced), Death Certificate (if your spouse is deceased) – if you have applied for assistance from our office before and we have the appropriate items already, you do not need to bring them again unless there has been a change in your marriage status (marriage, divorce, or death), the latest information copies must be provided.
  6. Birth Certificate of children you support and custody papers.
  7. Award letter from the VA, Social Security, Union or other income, (Job and Family Services check, Child Support, Unemployment Compensation).
  8. If unemployed, you must be registered with Ohio Job and Family Services and have proof that you are seeking employment.
  9. If you are disabled and cannot work, you must provide documentation from the VA or private physician stating you are unable to work for the veteran or any other adult living in the household.
  10. A copy of your bank activity statement for all accounts for the last 30 days (must list and show veteran or legal spouse as account holder). You must present documentation to explain all deposits and debits on accounts. Bank deposits and debits must be detailed. The Bank Account Activity Request Form is included in this packet, take it to your bank to obtain bank activity, bring the bank activity to your appointment.
  11. A copy of all receipts of payments you made that are not detailed on your bank activity statement.
  12. A copy of your latest credit card statement for all credit and debit cards.
  13. If you are applying for rental assistance, we will need a statement from your landlord stating the amount of rent past due along with the Landlord Ledger form completed by the landlord. We also need a 3-day eviction notice as we only pay for rent if being evicted.
  14. If you rent your housing, a copy of your current signed and dated lease, completed Landlord Ledger Form (attached). Take to your landlord for completion, bring completed form to your appointment, and Pickaway County Auditor’s Office Request for Taxpayer Identification and Certification Form (attached). Take to your landlord or mortgage company for completion. This completed form should be brought to your appointment at our office, NOT RETURNED TO THE AUDITOR’S OFFICE. These two forms must be completed by your landlord. We will not consider any request for payment to any relative. Your landlord must register with the Pickaway County Auditor as a rental property. All property owners are verified.
  15. If you have a mortgage for your housing, a completed Mortgage Company Statement Form (attached, take to your mortgage company for completion, bring completed form to your appointment) and Pickaway County Auditor’s Office Request for Taxpayer Identification and Certification Form (attached, take to your landlord or mortgage company for completion. This completed form should be brought to your appointment at our office, NOT RETURNED TO THE AUDITOR’S OFFICE.) These must be completed by your mortgage company. The mortgage must be in your name. We will not consider assistance if your mortgage is in foreclosure.
  16. If you have utilities (gas, electric, water) in your name, bring a copy of your latest bill for each. We will not consider utility assistance for accounts that are not in your name. You must have a disconnect notice for us to pay.
  17. A copy of all income for the last 30 days for the household. Documentation is required from household income, amount of real and personal taxable property, stocks, bonds, moneys on hand loaned or deposited in any bank or elsewhere, shares in building associations, mortgages, notes, or other articles of value from which you and all others in your household derive an income, revenue, taxable or non-taxable, or own, totally or in part, as an asset.
  18. You must complete the Household Budget Work Sheet, bring it to your appointment, be prepared to discuss your household financial situation and why you are requesting assistance.
  19. You must complete the Financial Assistance Application completely and bring it to your appointment.
  20. A statement that shows any grant of money by any church, social service agency, etc. to include a voucher for food, cash or check. 
  21. It generally takes up to 48 hour to process an application. Your cooperation in providing all needed information in a timely manner will help in completing the application process.

After you have obtained the necessary documents (and made a copy of each for our permanent file), a staff person will meet with you, by appointment, to review your financial circumstances. If it is necessary for you to come back to complete a pending application, the staff person working on your application will schedule another appointment for you while you are in their office to finish the application with them. If you do not supply the required paperwork or documentation, your application will be determined to be incomplete and no decision on your request for assistance can be made. Incomplete applications will not be considered for any total or partial assistance awards. It is your responsibility to obtain the necessary documentation before your appointment. 
 
You must come prepared to discuss what has taken place financially that caused you to need to apply for assistance. Applying for financial assistance is not an entitlement and you must demonstrate a documented need. Our staff person will evaluate your documented need and make a recommendation based on information provided and the policies of the commission. The staff person may recommend to partially or totally approve or deny your request. The staff’s decision is subject to review and will be made prior to processing for payment. You may be required to obtain additional documentation, develop budgeting plans, complete an application for other agencies, or participate in other programs to complete your application for assistance. If you have any questions after the application process, you should contact that staff person at their direct office phone number or email. All voice mails or emails will be answered within 4 business hours of your phone call or email. 

Financial Assistance is only for the support of the veteran, legal spouse of the veteran, and the legal dependents of the veteran. Requests for assistance to compensate using your income for other individuals or their expenses will not be considered.