Thank you for your interest in our Financial Assistance Program. So that we can determine your eligibility, please complete the application that is linked below, and return it to the address below:

ValAsta LLC
Attn: Financial Assistance Department
231 East Columbia Avenue
Leesville, SC 29070

The following documents (if applicable) must also be included to be considered for ValAsta’s financial assistance program:

A copy of last year’s W2 form
A copy of last year’s income tax return
A copy of your most recent pay stub (s)
A proof source indicating that you are eligible for local, state, or federal assistance programs.

Once we receive your completed application and documentation, we will determine if you meet the established criteria. Please allow approximately two weeks for your application to be processed. Applying for acceptance into our Financial Assistance Program does not guarantee reduced charges. If you have any additional questions or concerns, please do not hesitate to contact us.

We look forward to hearing from you and serving you in the future.

Download Application

ValAsta’s Financial Assistance Team