Fields marked * are required.
Government-issued photo ID — front side *
Driver's license, state ID, or passport. JPG, PNG, or PDF, max 10 MB.
Selfie holding your ID next to your face *
A clear photo of your face alongside your ID. JPG or PNG, max 10 MB.
Social links are not required and are used only for identity verification.
This is the most important section. Be specific — we will read it carefully.
You must provide at least one of the two options below. Applications missing both cannot be reviewed.
Only required if you do not have a GoFundMe.
You must upload at least two documents that prove your situation, in addition to your ID. Photos taken on a phone are fine. Sensitive information can be redacted.
Choose documents that match what happened — for example: eviction notice, termination letter, medical bill, court document, or utility shutoff notice.
Upload document *
JPG, PNG, or PDF, max 10 MB.
Upload document
By signing below, I attest under penalty of perjury that the statements and documents I have provided in this application are true and accurate to the best of my knowledge. I understand that providing false information may result in my application being denied, any funds disbursed being subject to repayment, and the matter being referred to the appropriate authorities.
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