Member Vehicle Grant

Eligible PVACF members may apply for chapter assistance toward an accessible primary vehicle purchase, approved repairs, or adaptation-related costs after applicable VA avenues have been exhausted.

Eligibility & request

What are you requesting assistance for?

I have pursued all applicable VA funding/assistance avenues and understand this grant is for eligible costs above available VA funds.

Personal information

First name

Middle initial

Last name

Street address

City

State

ZIP code

Phone

Vendor / seller information

Contact name

Company name

Vendor phone

Vendor email

Total estimate / purchase amount ($)

Supporting documents

Only a valid driver's license or state/government-issued ID is required to submit. Add any other supporting documents you already have; staff can request anything else needed during review. Uploaded files are attached to the private staff-review submission and are not displayed publicly.

Valid driver's license or state/government-issued ID

PDF, JPG or PNG. This is the only supporting-document upload required to submit.

Proof of hand-control training (if available / applicable)

Proof of VA denial / exhausted VA funding (if applicable)

Bid(s) / estimate(s) (if available)

Attach any available bids or written estimates now, or staff can follow up after submission.

Vehicle photo(s) (if available)

Photos may be supplied now or later by the member or vendor/seller.

Lien waiver (when applicable)

Proof the vehicle will be adapted (when purchasing a non-accessible vehicle)

I certify that the information and any documents I upload are accurate and understand that PVACF may contact me or the vendor/seller to verify the request.

I authorize PVACF to contact me about this vehicle-grant application and understand that submission does not guarantee an award.