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The Monetary compensation grant relief is approved by the U.S. Department of Treasury.

GET YOUR PIECE OF THE FUNDING

Step 1: We need your legal name to verify your identity.

Legal First Name: Legal Last Name:

Step 2: Let us know where you live so we can verify your idetity

Residential street address (P.O. Box is not valid) Apt/suit (if applicable):

Step 3: Let us know how to communicate with you.

Email Address: Phone Number:

Step 4: Status details.

Employment Status:

Education Level:

Are you a veteran?

Step 5: Other Status Information

Occupation

Are you a U.S citizen?

Do you have citizenship in another country?

Step 6: Personal Information

What is your race / ethnicity?:

What is your gender?:

Do you identify as a member of the disability community?:

Step 7: Let’s get a quick snapshot of your financial situation.

Total Annual Income:

Monthly Rent/Mortgage:

Do you have any bank accounts?

How would you describe your credit?

Excellent Good Fair Poor

Step 8: Funding Information

Select a Funding Category

How much money are you going to need?

Payment Method

Additional Message:

You’re almost done! Help us protect you from fraud and verify your identity.

Date of Birth:

Social Security Number (SSN):

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