After completing the application below you will need to attach a .pdf file (scanned image) or .jpg file (picture image) of the following documents:
Your DD-214 Form
The first two pages of your most recent Federal 1040 Tax Return
Proof of current healthcare insurance coverage including: name of insured, dates of coverage, and proof of payment OR copies of paid receipts for out-of-pocket healthcare expenses that you have paid for this year.
These documents will be used for verification purposes and must accompany your application in order for your application to be reviewed.