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Surge Resource Request

If you need support materials only, please visit Military OneSource Provider Tools.

Not sure what support materials are offered?


Complete this surge form to request military and family life counselors (MFLC), child and youth behavioral counselors (CYB-MFLC) and personal financial counselors (PFC) for 4-90 days. Providing inaccurate information may delay your request or be cause for disapproval.


Surge Information




Services Requested

Complete this surge form to request military and family life counselors (MFLC), child and youth behavioral counselors (CYB-MFLC) and personal financial counselors (PFC) for 4-90 days. Providing inaccurate information may delay your request or be cause for disapproval.

A request can only be submitted for either Personal Financial Counselor, or any combination of Military and Family Life Counselor, Child and Youth Behavioral Counselor, and Military OneSource. Please submit an additional request form to request all needed resource types for your event.


* Select the services that will be the most appropriate for your surge.

Military and Family Life Counselor

Face-to-Face Counseling

Child and Youth Behavioral Counselor

Face-to-Face Counseling

Personal Financial Counselor

Face-to-Face Counseling

Attendance and Location Information

Please provide surge attendance estimates to help us determine the appropriate number of counselors needed for your surge.

We understand that attendance estimates may change closer to the surge date.

Please fill out the information the best you can at this time.


Attendance Estimates

We expect a minimum of 50 eligible attendees for counseling support. If you have less than 50 attendees, we encourage you to submit your request anyway. We review and staff each request based on its own merit.

Please enter the total population of eligible service and family members that could be supported by this request.

Assignment Location

Please enter the surge address.
If it is not yet known, please indicate this, but know that it will be required at least 10 business days prior to the surge start date.

Point of Contact Information

Please provide a primary and alternate Point of Contact (POC) for this request. The POC will receive all correspondence, which may include phone calls and e-mails to better understand your surge needs. The POC is responsible for providing prompt responses and regular updates about the surge.


Main Point of Contact List the person who can confirm surge details.
Alternate Point of Contact List the backup person who can provide surge information

Additional Information and Acknowledgment


Surge Support Information

Please review the following information.


Acknowledgment

Please review the following information.


I have provided all information requested and will inform the DoD of all changes, updates (including location, surge dates and number of attendees), and cancellations six days before the surge begins.

The DoD has the authority to disapprove support if requested information is not received 10 business days before the surge begins.


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