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Blue Devil Association
Contact Us
Here's how to get in touch with us Email: couillardks@gmail.com Completed the form below. Copy/scan and email or mail the form to the addresses
provided, and we will get back to you as soon as we can. We look forward
to hearing from you.
BDA Request Checklist Date:
________________________________________________________________________________________________ Soldier's
Full Name & Rank to be considered for BDA funds: ___________________________________________________ Who is requesting assistance-check one: ____
88th Soldier or ____ Spouse or other
(identify relationship to Soldier) : ___ _____________________________________________________________________________________________________ Current Mailing Address with zip code: _____________________________________________________________________ Current Unit: __________________________________________________________________________________________ Current Phone number Day time:___________________________ Evening:_______________________________________ Referred by: ___________________________________________________________________________________________ Name and Contact Information for someone in Soldier’s COC who has validated the financial
emergency (ex.: 1SG/NCOIC/XO/Commander):
________________________________________________________________________ What are the circumstances (what has happened/why emergency
financial assistance needed) ____________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ __________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ Dependents & Ages: _____________________________________________________________________________________ Recommended Grant Amount: _____________________________________________________________________________________ Forward this request to: Kathleen Couillard, LTC USA (Retired), email: couillardks@gmail.com If need long term assistance, contact Military OneSource at: 1-800-342-9647 - 24 hours a day, seven days a week or other assistance options. Thank you for visiting our web
site!
Blue Devil Association PO
Box 23462, Richfield, MN 55423-0045 |