Section Completed by Company/Battery Commander or First Sergeant

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Presentation transcript:

Section Completed by Company/Battery Commander or First Sergeant FMWR Army Community Service/Financial Readiness Program Toys for Kids 2018 Financial Assessment and Referral Form for Service Members E5 and above Submit Form and Supporting Documents* to ACS Financial Readiness Program BLDG 4700 Date: ______________________ Full Name (Print): ________________________________________________Rank:________ Brigade: _____________ Battalion: _________ Unit:__________________ Name of Commander or 1SG_____________________________________________________ Spouse’s Name: _______________________________________________________________ Home Address: _______________________________________________________________ Phone Number: _________________Number of Children in the Home: ___________________ Section Completed by Company/Battery Commander or First Sergeant Section Completed by Financial Readiness Program Staff Describe the Service Member’s financial hardship: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Is military family participating in any other holiday program? Yes/no __________________ Military Family’s Budget (Attach Budget) Monthly Gross Income: ______________ Monthly Surplus or (Deficit): _______________ Monthly Net Income: _______________ Monthly Expenses: _______________ FRP Staff Member Reviewing Request:________________________________________________ Recommend Approval/Disapproval (circle one) FRP Program Manager Final approval:________________________________________ * SM will need to bring the following documents to the appointment with FRP staff member: current LES, past due bills, financial summaries and any document that supports the financial hardship. SM will participate in a financial session to review current situation and future financial planning.