Active Duty AER Request Packet Army Community Service (ACS) Army .

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Active Duty AER Request PacketArmy Community Service (ACS)Army Emergency Relief (AER)TEL: (719) 526-4590Use the two part checklist below to prepare AER requests. You can also contact your unit Command Financial NCO(CFNCO), 1SG or Commander; all can assist. Attach copies of supporting documents; do not attach originals. Requestsare accepted at the ACS Center, Bldg. 1526 at 6303 Wetzel Avenue, Fort Carson, CO 80913. Customers are seen on awalk-in basis; appointments are scheduled by AER staff. Please note, wait times vary depending on the number ofcustomers and the levels of urgency. The AER Application and Budget can be found at www.carson.army.mil/ACS underthe ACS Program Directory header, you’ll select Army Emergency Relief (AER). Thank you for your cooperation.Part 1 of 2 – Standard FormsAER Form 700 OR AER Form 600 must be signed by 1SG or Company Commander if Service Member has less than 1 year ofservice. (Attached)Personal Budget Worksheet (Attached) --- NOTE: This is not required for Car/Booster Seat requestsCurrent LES and/or Pay StubsAre you considered a 1st Term Soldier; if yes initialIf you are not the Soldier, a Special Power of Attorney stating AER assistance can be received is requiredPart 2 of 2 – Supporting Documents (Copies / Do not provide originals)Car Note (Overdue)Vehicle insuranceVehicle registrationDriver’s licenseLetter from creditor stating amount owedCar RepairVehicle insuranceVehicle registrationDriver’s licenseOne independent estimate – NOTE: Work done before AER approval will be disapprovedCar / Booster SeatPrint out showing cost of the car / booster seat – Limited to 250 perIf you are requesting a replacement, please provide a printout photo of the old car / booster seat --- NOTE: Include a statementon the AER 700 form of why the old car / booster seat is not operational.Emergency TravelRed Cross Case Number – If unable to obtain, notify AER.Signed DA 31 with Control Number - Must be marked as emergency or ordinary under Emergency Conditions.If driving, a printed travel route with mileage (i.e., Mapquest, Google Maps) or;If flying, a printed flight itinerary with amount owed - AER recommends the Fort Carson Carlson Wagonlit Travel Office at(719) 576-5188.MortgageLetter from creditor stating amount owedRent (Demand for payment)Demand for payment - This is an El Paso county legal document (company owned rental) or if the rental is through an individualrather than a company, then it may be acceptable to present a signed note with the landlord’s contact information.Rent (Initial Security Deposit/First Month’s Rent)Lease - To include amount due for initial security deposit and first month’s rent.UtilitiesUtility bill, including cable, phone bill and all bills have to be current.Visit www.carson.army.mil/ACS. Select Army Emergency Relief (AER) under the ACS Program Directory header.

APPLICATION FOR ARMY EMERGENCY RELIEF(AER) FINANCIAL ASSISTANCE1. Soldier's Name (Last, first, MI)2. Unit3. ETS/RET Date 4. SSN5. Applicant’s name and relationship (If other than Soldier or Retired Soldier)8. Home or Permanent Mailing Address of Sponsor10. Branch9. Are you currently in bankruptcyor do you plan to file bankruptcywithin the next six months?11. Member TypeRegular ArmyARNGUSAR7. Sponsor's Email Address6. Sponsor's Phone #12. Special Power of AttorneyYesActiveDependentRetiredSurvivorYesNoNoIf Yes, what Chapter?13. Reason (Provide a brief summary of the circumstances causing your emergency financial need.)DoD ID#:DoB:14. List the specific item(s) that are required to meet the emergency financial need:Total 015. Applicant’s CertificationI hereby authorize the Department of the Army to supply any requested information contained in my official Army personnel and pay filesin connection with this assistance. I further authorize the Department of the Army, or any agency, to supply my latest home addressand/or official military address to AER whenever requested. I further understand that AER is an independent private entity, not part ofthe U.S. Government. This application form, therefore, is not subject to the Privacy Act (5 U.S.C. 552a). Information provided on thisapplication, in some cases, will be provided by AER to the Army in order to determine eligibility for and administration of financialassistance. I certify the information provided on this application is complete, true and correct.15b. Date15a. Signature of Applicant16. Unit Commander or First Sergeant Review of Active Duty Applicant (Required for all Soldiers not eligible for Direct Access)16a. I have reviewed Soldier’s request for AER assistance and recommend:ApprovalDisapprovalIndicate reason for approval or disapproval recommendation:16b. Soldieris oris not pending elimination from the Army.16c. Name/Rank of Company Commander or First Sergeant16d. Company Commander or First Sergeant's Phone & Email 16e. Signature of Company Commander/First Sergeant16f. Date17. Action by AER Officer17a. Request is:Approved.Loan Amount Grant Amount Disapproved. Soldier and Commander have been informed of the reasons for disapproval.Forwarded to the Level II and/or III Approving Official for action.17b. Name of AER OfficerAER FORM 700, dated 6 July 201717c. Signature of AER Officer(Local Reproduction Authorized)RESET FORM17d. DatePrevious editions of this form are obsolete

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Active Duty AER Request Packet Army Community Service (ACS) Army Emergency Relief (AER) TEL: (719) 526-4590 Use the two part checklist below to prepare AER requests. You can also contact your unit Command Financial NCO (CFNCO), 1SG or Commander; all can assist. Attach copies of supporting documents; do not attach originals. Requests

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