Get Family Intake CONTACTDONATE Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Primary Contact Information This as to Full Name *Relationship to the Fallen Service Member *--- Select Choice ---SpouseParentChildSiblingLegal GuardianPhone Number *Email Address *Mailing Address *Address Line 1CityState / Province / RegionDate of Birth *Anniversary Date (If spouse)What date(s) are important to you, for Special Forces Foundation to send a gift of memory? *Fallen Service Member InformationFull Name: *Rank / Rate: *Special Forces Group / Unit: *--- Select Choice ---1st SFG2rd SFG3rd SFGDate of Birth *Date of Passing: * Nature / Cause of Death: *Combat / Action-RelatedTraining AccidentActive Duty Medical / IllnessVeteran / Post-Service PassingSuicideOtherIs the passing officially designated as Service-Connected? *YesNoPending DeterminationVerification DocumentationPlease upload any official documentation you have available. This helps us expedite your support. * Drag & Drop Files, Choose Files to Upload Note: If you do not have this on hand, you can still submit this form and provide it to your foundation coordinator later.Dependents & Additional Family Members Please list any children or other dependents living in your household.Name *Date of Birth *Relationship * Immediate & Urgent NeedsOur priority is ensuring you are supported right now. Please check any areas where you need immediate assistance (if applicable). *Immediate Financial Assistance (e.g., travel for funeral, emergency bills)Funeral / Memorial Service SupportMental Health / Grief Counseling Support (for yourself or children)Legal / Benefits Navigation (VA benefits, Gold Star status, etc.)Peer Support (Connecting with other Gold Star/Surviving SF families)Other Urgent NeedAdditional Comments & ContextAdditional Comments:Submit
