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You are eligible to apply for emergency assistance online. Please complete the following registration form to create your account.

Account Information

Please provide the following info:


Please provide your SSN. If you are not the Sponsor, please check "I am not the sponsor" and provide the Sponsor's SSN. The SSN is required for applications requesting emergency assistance.

Enter your personal email address, which will serve as your username.  NOTE:  To complete the registration, we will send you an email which requires action. MIL addresses cannot be used.

Your password must meet the following requirements:

  • must be at least 15 characters;
  • must contain one upper case letter, one lower case letter, one number, and one special character;
  • cannot contain your username, email address, first or last names, birth date, or phone number;
  • cannot contain any dictionary words.

Please select a security question below and provide an answer. You will be able to use this option later to reset your account in the event that you forget your password. Please make sure that you remember this answer and that it is case sensitive.

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