Support our Troops
CF
4210 Labelle Street, Ottawa ON K1A 0K2
Tel: 613-943-8756 / 1-888-753-9828 Fax: 613-996-4207
E-mail: [email protected]
SERVICES
Morale &
Welfare
Bien-être
et moral
SERVICES
FC
Schedule A
Surname
Given Name
Initial(s)
CF One Number
Date of Birth
IF MILITARY
Rank
Reg Force
Reserves
Enrolment Date
Class
Service Number
Contract End Date
(dd/mm/yy)
Release Date
(dd/mm/yy)
(dd/mm/yy)
IF NOT MILITARY
State relationship to the CAF Member
Yes
No
Day
Month
Year
Have you ever voluntarily filed for protection under the Bankruptcy and Insolvency Act?
(assignment in bankruptcy, consumer proposal or orderly payment of debts program)
Are you awaiting discharge from bankruptcy, consumer proposal or an orderly payment
of debts program?
Are you in the process of being released from the CF or are you contemplating taking
your release within the next 6 months?
MARITAL STATUS
Single
Married
Common-Law
Separated
Divorced
Widow
SPOUSE’S INFORMATION
Surname
Given Name
Initial(s)
CF One Number (if applicable)
Date of Birth
Rank
Service Number
IF MILITARY
CONTACT INFORMATION
Mailing Address
City
Home/Cellular Phone
Province
Applicant Work Phone
Applicant Email
Postal Code
Spouse Work Phone
Spouse Email
PARTICULARS OF PERSONS RESIDING IN HOUSEHOLD
Name
Relationship to Applicant
Date of Birth
Other comments if required
DISCLOSURE & AUTHORIZATION
I hereby verify that all of the information I have provided with respect to my request for application for financial assistance from Support Our Troops, is true. This will
also confirm that I consent to the collection, disclosure and sharing of personal financial information by SOT authorized personnel/SISIP FCs/Chain of Command as
deemed necessary for the sole purpose of assessing my request for this application, and for all other purposes associated with the administration of the Support Our
Troops Funds and that no other use or disclosure of this information will occur without my consent, other than pursuant to the provisions of the Access to Information
Act and Privacy Act.
SIGNATURE(S)
Applicant Signature
(Ce formulaire est disponible en français)
Date
Spouse Signature
Date
Protected "B" (when completed)
CF
SERVICES
Morale &
Welfare
Bien-être
et moral
SERVICES
FC
Schedule C – Distress Grant/Loan Application
Service Number
Surname
CF One Number
Financial distress is deemed to exist when an applicant or a member of his/her family is suffering a financial hardship due to a lack of the
necessities of life or when an applicant has personal debts which cannot be met as a result of unexpected demands upon his/her income
due to sickness, accident, death, or other unforeseen circumstances or misfortune. The aim of the Distress/Preventive Loan Program is to
provide financial assistance to qualifying applicants to relieve or prevent financial distress.
TYPE OF ASSISTANCE REQUESTED
Amount
CHECKLIST OF MANDATORY SUPPORTING DOCUMENTS
CB Report
Grant
$____________
Loan
$____________
Repayment term
requested
MPRR (if available)
Proof of all household income (VAC, UCCB, CTB, EI, ELB, LTD, child
support etc)
Creditor statements (CC, LOC, CRA etc)
Current utility statements
$____________
Bank statements (3 months)
Current budget (signed by member & spouse)
If approved
Fund transfer
Solution budget (signed by member & spouse)
Copy of support order (if applicable)
Direct Payment
Applicant’s statement of circumstances
STATE REASON(S) FOR CURRENT REQUEST FOR ASSISTANCE (IN POINT FORM)
FINANCIAL COUNSELLOR COMMENTS
I do not support this request for assistance
I support this request in the amount of Grant $______________ Loan $______________
Other Comments
Financial Counsellor Signature
Date
SOT OFFICE USE (APPROVAL/DENIAL)
D & P Loan Approval
Amount
Monthly Payment
$
$
Grant Approval
Amount
Request Denial
NCP
$
NDS
NSL
NUC
Interest rate
APPROVING AUTHORITY
Name
(Ce formulaire est disponible en français)
Date
Protected "B" (when completed
CF
Morale &
Welfare
SERVICES
SERVICES
Bien-être
et moral
FC
SCHEDULE E – Testimonial Request Form
(Protected “B” Personal Information (when completed)
The Support Our Troops Program (SOT) is always in need of heart-warming stories from
members/families that have received support from us. Your personal story can be in the form of a few
lines/statement with a preamble or a full story on how the Support Our Troops Program has helped you.
These statements and stories will be posted on our website and will serve as a reference point when
asked by the Board of Directors, media and donors on how we’ve disbursed the fund. Pictures are also
welcomed, if you wish to share them.
I agree to provide a written testimonial: Yes _____ No_____
If yes, please provide email address in order for SOT staff to provide you with a template.
Email address:
I understand that the Support Our Troops Program receives requests from the news media for stories of
families or interviews with families that the program has assisted.
I am willing to participate in an interview: Yes _____ No_____
BENEFICIARY
DATED AT ___________ THIS _____ DAY OF _______________, 20____.