Inquiry/More Info Form to submit Online here.


Second Chance Veterans Charity is a 501(c)(3) non-profit organization dedicated to improving the quality of life of American Military Veterans who are disabled.

We provide free power wheelchairs and power scooters as a service to disabled veterans of America.

If you are in need of a wheelchair, please click on Application Form below, fill out the form and email or mail to us.  Both forms can be filled in and then printed.

Email to: Robert Hager or
Email to:  Joe Plant:

Mail to:  Second Chance Veterans Charity
             5850 Canyon Way
​             Frederick, CO 80504 

Application Form (Micosoft Word Format)

Application Form (Adobe Format)