Information Request Form

The Navy SEAL Foundation’s programs focus on relieving the intensities associated with service in NSW. All supported initiatives are designed to enhance the resilience and well-being of our warriors and their families. Support is tailored to each individual. We are honored to support all of NSW and its families and thank you for your interest.

All inquires are confidential. Your information is not shared or disclosed.

Submitter Information

I am a:

First Name

Last Name

Relation to Service Member:

Email Address:

Cell Phone Number:

Service Member Information

Service Member First Name:

Service Member Last Name:

Service Member Status:

Retirement/Separation Date:

Service Member SOCOM Email:

Service Member Personal Email:

Service Member Phone Number:

Service Member Type:

Service Member Rank:

Service Member Command:

Please start typing to see your command appear. For "Other", please use 'Non-NSW Command". If no longer active duty, please indicate your last command. We will not contact your command, this is simply for validation purposes.

If Non-NSW Command, Which One?

Information Requested

Types of Information/Support Requested:

Children's CampsCommand Events (Social, Deployment-related, Family Days, etc.)Respite ChildcareActive Duty Illness/Injury SupportImmediate Family Member Illness/Injury SupportMental Health / Physical Health SupportTragedy AssistanceGold Star and Surviving Families SupportOtherYou may select as many as you need.

What other organizations/services have you utilized?

Please describe your request/needs below: