Phone number *
Name of business
Date of incident
How did you hear about the GEAF?
Please share what happened?
Have you filed an insurance claim?
What is the status of the claim?
If it is a theft, did you file a police report?
Can you provide the police report?
Do you need assistance with local area help?
We disburse through Paypal. Do you have an account? Or can you set one up?
At times when funds are low, we can still help by sharing your information with others in the industry, at your local level or even at a National level. Is this ok with you?
To maximize efforts, please share what other help have you requested. For example, GoFund, YouCaring, ets.
Please provide two industry references (name & phone number)
Please place your initials at the end of this application, approving that by filling this application you understand and agree that we will share your name and basic info (need) in our Facebook page and Website.
©2013 Groomers Emergency Assistance Fund