Application For Funds

If you or someone you know is a first responder in Henry County—including sworn police, sheriff, fire, or 911 emergency services—and is in need of financial assistance, please submit a request to REwings4warriors@gmail.com or fill out the form below.

Application For Funds

via email or phone:

Please be sure to include a clear outline of the situation, the amount requested, who it is for, and any other relevant details to help us understand the circumstances.

470-367-3840

REwings4warriors@gmail.com

First Name

Phone Number

Last Name

Employee / Badge Number

Certification Number (Okey, Medic, Etc)

Form Submitted By

Phone Number

Full-time employee, employed no less than 90 days.

Supervisor Name & Rank

Supervisor Phone Number

Amount Requested

Please explain the specifics of the request with as much detail as possible.

“By signing below, you affirm that the information provided is true, complete, and accurate to the best of your knowledge.”

All requests are subject to approval by the REWFW, Inc. Board. The Board meets on the first Tuesday of each month to review submissions. If approved, a check will be issued, and the applicant will be notified.

Emergency requests will be reviewed and processed as soon as possible.

Your Signature

Thanks for submitting!