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Get AER Form 600 2017-2024

11c. Name of AERO AER FORM 600 Signature 11d. Date For use of this form see AERO Section Reference Manual or WWW.AERHQ.ORG Reset Form Instructions for preparing AER Form 600 This form contains items that can be filled out online and then printed or it can be printed as a blank document and filled out by hand. COMMANDER S REFERRAL PROGRAM Application For Army Emergency Relief AER Financial Assistance 1. Section Number 2. Rank 3. SSN or AER Client ID 4. Soldier s Name Last First MI 5. ETS Date 6. Unit 6a* Soldier s Home or Permanent Mailing Address Phone and Email 7. Bankruptcy Filed or Pending Are you currently in Bankruptcy No Yes If yes what Chapter Do you intend to file Bankruptcy within the next six months Yes No 8. Reason Why Assistance is Needed Be complete and specific* If more space is needed continue on separate sheet 8a* Dependents for Whom You Furnish More Than One-Half Support ID Card Holder Name Age Relationship 8b. List Your Specific Emergency Financial Needs Total 9. Applicant s Certification I hereby authorize the Department of the Army to supply any requested information contained in my official Army personnel and pay files in connection with this assistance. I authorize the Department of the Army or any agency to supply my latest home address and/or official military address to AER whenever requested* I further understand that AER is an independent private entity not part of the U*S* Government. This application form therefore is not subject to the Privacy Act 5 U*S*C. 552a. Information provided on this application in some cases will be provided by AER to the Army in order to determine eligibility for and administration of financial assistance. I certify the information provided on this application is complete true and correct. 9a* Signature of Applicant 9b. Date 10. Unit Commander or First Sergeant 10a* Soldier is or is not Pending Elimination from the Army. 10b. Request Is Approved* Disapproved* Soldier has been informed of reason s why this request was disapproved* 10c* Requested Amount Maximum 1 000 10e. Name/Rank of CDR/1SG Signature Phone and Email 10d. Approved Amount 10f* Date 11. AER Officer Review of the Application 11a* I have performed the required administrative review and Soldier is eligible for AER Assistance under Commander s Referral* Commander s Referral Program due to. Soldier s application is being returned to Unit Commander Soldier s request is being processed as a routine AER case per Unit Commander. This item is the AER Section number enter if known 2-5. Self-Explanatory This item may have multiple lines 6a* For each question only Yes or No may to be checked* The Bankruptcy Chapter line may contain no more than 2 digits. 8a* 8b. The Financial Needs Amount Column will only allow numbers and will automatically add the total* 9a* This field may not be filled in 9b. 10a* Only one box may be checked 10b. 10c-f* These items are completed by the AERO 11b. If this box is checked please indicate a reason and check the correct routing box.

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