REMINDER: MOAA will NOT ask you to provide your Social Security number or bank information over the phone or in response to an email. DO NOT provide this information unless asked for through a secure link via an email from firstname.lastname@example.org. A MOAA staff member will only ask for this information and provide you a secure link to send if you are being awarded a grant, and the request will come directly from email@example.com. Please email firstname.lastname@example.org or call the MOAA Member Service Center at (800) 234-6622 if you feel uncomfortable about a request and would like to verify authenticity.
Thank you for taking time to help The MOAA Foundation verify an applicant for the COVID-19 Emergency Financial Relief Grant. Please complete and submit the Chapter Verification Form.
Verification Form Option: If you would prefer to use a fillable PDF/printer-friendly version, learn more and download.
Chapter Verification Form