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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: _______________________________________________________________________________ 
Unit GO Command: ___________________________________________________________________________________
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) _________________________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
Number of 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 for other assistance options.

Thank you for visiting our web site!
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Blue Devil Association
PO Box 23462, Richfield, MN 55423-0045