Fill Out The Forms

Download the application documents below and fill out completely. Then continue to step two to determine what supplemental information we need to complete your request.

Gather Additional Documents

1. A clear copy or photo of your driver’s license (front & back) or state identification card;
2. A clear copy or photo of your proof of income such as W2, pay stub, benefits statement (SSI,
   SSDI, VA) etc.
3. An estimate, purchase order or bill of sale from the vendor detailing the specific costs of the
   assistive technology, vehicle, or home modifications for which you
   are seeking the loan.

Submit Your Completed Forms and Documents

You can submit your completed forms and documents to the email address or P.O. Box below.

jpheagle@gmail.com

Southern Disability Foundation
P.O. Box 42
Auburn, AL 36831