Personal Information

We'll use this information to contact you.
If you've previously submitted a request and have additional requirements, let us know: veteransmobilityfund@helpforheroes.org.uk.

First Name *
Preferred Name (Only provide a preferred name if it differs from your first name)
Last Name *
What's your ethnic group? *

What's your gender? *

  • Male
  • Female
  • Prefer not to say

Is the gender you identify with the same as your sex registered at birth? *

  • Yes
  • No
  • Prefer not to say
UK Phone Number *

Or enter address manually

This field is required

Address One *
Address Two
Locality
Town *
County
Country *
Postcode *

Applying on behalf of someone else?

If you're submitting this form on behalf of someone else, you'll need to ask their permission to do so.

Relationship to applicant

Military Service Details

Service number *

Military Connection *

  • Army
  • RAF
  • Royal Navy
  • Royal Marines
  • Army Reserves
  • RAF Reserves
  • Royal Navy Reserves

Are you currently employed? *

  • Yes
  • No
  • Prefer not to say
How did you hear about the Veterans' Mobility Fund?