Back to the Hachi Fund

Application · FM-03 Emergency assistance for vets & families

Apply to the Hachi Fund

The Hachi Fund covers veteran and first-responder emergencies. Vet bills, utilities, transportation in a family emergency, similar urgent needs. This form is how we hear about yours. It takes about ten minutes. A real person reads it within 48 hours.

  • Confidential. Never published.
  • Read by a person, not a robot.
  • Response within 48 hours.
  • No means test. No tier system.

Section 1

About you.

Who we’re talking to.

We try to meet the full ask when we can. If we can’t, we’ll be honest about what we can do.

Section 2

Your situation.

What’s going on. Plain language. We don’t need an essay.

Section 3

Verification & documentation.

To process your application, please attach the following. If you can’t scan it, photograph it with a phone. We’ll figure out the rest.

All personal information is kept confidential and used only to verify eligibility.

Section 4

Optional message.

If you’d like, you can share a short message or story for our team (not public) so we can better understand your situation and provide any additional support or referrals.

Section 5

Agreement & signature.

Before you send it.

By signing below, I confirm that all information provided is true to the best of my knowledge. I understand that submission does not guarantee approval, and funds are distributed based on availability and need.

We’ll confirm receipt by email within an hour, and respond fully within 48 hours.