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PURPLE HEART SMILES APPLICATION Please fill out all information completely. Child's Name: Child's Date of Birth: Veterans Name: Veterans Date of Birth: Active or Retired Military (circle one) Dates
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How to fill out purple heart smiles application

01
To fill out a Purple Heart Smiles application, follow these steps:
02
Visit the Purple Heart Smiles website or contact their office to request an application form.
03
Fill out the personal information section, including your name, address, phone number, and email address.
04
Provide details about your military service, such as the branch of service, dates of service, and any combat-related injuries.
05
Attach any supporting documentation, such as medical records or deployment orders, to validate your eligibility.
06
Answer the questions regarding your dental needs and explain why you require assistance.
07
If applicable, provide information about your current dental insurance coverage.
08
Sign and date the application form.
09
Submit the completed application either online or by mail, along with any required supporting documents.
10
Wait for a response from Purple Heart Smiles regarding the status of your application.

Who needs purple heart smiles application?

01
Purple Heart Smiles application is specifically designed for military veterans and active-duty service members who require dental assistance but cannot afford it.
02
This application is beneficial for individuals who have combat-related injuries or dental issues resulting from military service.
03
Purple Heart Smiles aims to provide dental care to those who have sacrificed for their country and need support in accessing proper dental treatment.
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The Purple Heart Smiles application is a form used to apply for assistance from the Purple Heart Foundation.
Veterans who have received the Purple Heart medal are usually required to file the application.
The Purple Heart Smiles application can be filled out online on the Purple Heart Foundation's website.
The purpose of the Purple Heart Smiles application is to provide support and assistance to Purple Heart recipients.
The application typically requires information about the veteran's military service, medical history, and financial situation.
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