ATU Disaster Relief Fund Claim Form
For ATU Victims of Midwest Floods














  
        




* denotes required field

This form must be completed in its entirety and mailed or faxed, with all available supporting documentation, to:

ATU Disaster Relief Fund, Inc.
5025 Wisconsin Avenue, NW
Washington, DC 20016-4139
Fax: (202) 244-7824

The ATU Disaster Relief Fund, Inc., is a federally recognized Internal Revenue Code Section 501 (c)(3) publicly supported charitable organization.