43 Pa. Code § 11.4 - Application procedures
(a)
Forms. Application shall be made on the PA MFRAP Form 01.
Application forms are available from the following sources:
(1) The Department of Military and Veterans
Affairs, Attention: PIRO-MFRAP, Building 9-26, Fort Indian-town Gap,
Pennsylvania 17003-5002, or from the department's program web site at
www.dmva.pa.gov/Veterans/Benefits/Pages/MilitaryFamilyReliefAssistanceProgram.aspx.
(2) Pennsylvania National Guard Family
Assistance Centers across this Commonwealth. Applicants, regardless of branch
of service, are encouraged to request assistance from the nearest Pennsylvania
National Guard family readiness specialist to complete and submit the
application form. To locate the nearest family readiness specialist, see
www.pa.ng.mil/Offices-Programs/Service-Member-Family-Support/State-Family-Programs/Family-Assistance/.
(3) Accredited VSOs at the county offices of
veterans affairs in each county seat.
(4) The department's field offices collocated
with the United States Department of Veterans Affairs Regional Offices in
Philadelphia and Pittsburgh.
(5)
Accredited VSOs affiliated with The American Legion, Veterans of Foreign Wars
(VFW), American Veterans (AMVETS), and Disabled American Veterans (DAV) in this
Commonwealth.
(6) Accredited VSOs
at the Pennsylvania Veterans Homes in Erie, Hollidaysburg, Philadelphia,
Pittsburgh, Scranton and Spring City.
(b)
Completion and execution of the
form. An applicant shall complete and sign the application form,
certifying to the truthfulness of its contents under
18 Pa.C.S. §
4904
(relating to unsworn falsification to authorities). If the applicant is unable
to sign the application, a person exercising general power of attorney may sign
for the applicant. An eligible service member's commanding officer or senior
noncommissioned officer/senior enlisted leader must verify the information
provided and recommend approval or disapproval.
(c)
Supporting
documentation. An applicant shall submit the following documents with
the application form:
(1) Copy of current
Pennsylvania driver's license, learner's permit, or identification card, or
other acceptable proof of residency as requested.
(2) Copy of the eligible service member's DD
Form 214, Certificate of Release or Discharge from Active Duty, or equivalent,
or copy of current military identification card as appropriate.
(3) Proof of dependency if
applicable.
(4) Copy of the service
member's most current Leave and Earnings Statement (LES).
(5) Documentation supporting the exigent
circumstances and need for assistance, such as repair estimates, rental
agreements, utility bills, bank statements, employment records, and the
like.
(d)
Submission of application.
(1) An applicant shall mail or otherwise
deliver the completed application form, together with supporting documentation,
to the Department of Military and Veterans Affairs, Attn: PIRO-MFRAP, Bldg.
9-26, Fort Indian-town Gap, Annville, PA 17003-5002.
(2) To expedite the application process,
applications and supporting documents may be faxed to (717) 861-9084. Questions
and requests for support may be e-mailed to ra-pa-mfrap@pa.gov. Applicants
should refrain from sending completed applications or other sensitive and
personally identifiable information by e-mail.
(e)
Withdrawal of
application. An applicant my voluntarily withdraw an application for
any reason at any time prior to the determination of eligibility by informing
the assisting family readiness specialist, VSO or the bureau of a desire to
withdraw.
(f)
Other
assistance.
(1) To qualify for
assistance under this program, applicants are encouraged to seek assistance
from other appropriate sources prior to applying for the program. Other
suggested sources of financial assistance include, but are not limited to any
of the following:
(i) Army Emergency Relief,
www.armyemergencyrelief.org.
(ii) Air Force Aid Society,
www.afas.org (Air Force and Space
Force).
(iii) Navy-Marine Corps
Relief Society, www.nmcrs.org.
(iv) Coast Guard Mutual Assistance,
www.cgmahq.org.
(v) Pennsylvania National Guard Associations,
www.pngas.org/mission/g2g.
(vi) Enlisted Association of the National
Guard of the United States, www.eangus.org/operation-vetcare.
(vii) Non Commissioned Officers Association,
www.ncoausa.org/disasterrelief.html.
(viii) Military Officers Association of
America, https://charities.moaa.org/the-moaa-foundation/crf/.
(ix) American Red Cross,
www.redcross.org/get-help/military-families/financial-assistance.
(x) Veterans of Foreign Wars,
https://www.vfw.org/assistance/financial-grants.
(2) Veterans and their surviving
dependents may also be eligible for Veterans' Temporary Assistance (VTA) in
accordance with criteria at
51 Pa.C.S. §
8503
(relating to eligibility). However, as explained further in §
11.6(a) (relating
to administration procedures), program assistance may not be granted
concurrently with VTA to address a need arising out of the same
event.
(3) The application for
program assistance should include copies of applications or determinations, or
both, for other forms of assistance filed by the applicant.
(4) The approval authorities described in
§
11.6(b) may waive
any requirement to seek assistance from other sources when unusual or exigent
circumstances make the application impractical or unlikely to produce results
in a timely manner or when the applicant shows that the circumstances are such
that other potential sources of assistance are unavailable.
Notes
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