CHECK IN THE MAIL – Buffalo Shooting Victims

CHECK IN THE MAIL

- We need you to provide your Social Security Number (SSN) in the form below –
  - and a clear picture of FRONT ONLY of your ID- which you may text to Sabra-
    - Sabra’s cell = 916-670-9007
    - once your ID has been uploaded by Sabra, she will text you back “All Good” –
    - At which time both of you will delete the ID from your phones.
- - - - THANK YOU

First(Required)

Last(Required)

Date of Birth(Required)

Email Address(Required)

Confirm Email Address(Required)

Phone Number(Required)

Confirm Phone Number(Required)

Social Security Number(Required)

Confirm Social Security Number(Required)

Address(Required)

Confirm Address(Required)

Last 4 SSN

Status

token_id