ABATE of LEXINGTON
Application for Assistance for DRAF (Down Riders Assistance Fund)
Name: ________________________________________________________________________
Address:___________________________________________________________
Telephone:_________________________________________________________
Are you employed & where____________________________________________
Is your spouse employed & where_______________________________________
Are you able to work _________________________________________________
List the age and name of dependants living with you: ________________________
___________________________________________________________________
___________________________________________________________________
List any sources of income: _____________________________________________
____________________________________________________________________
Date of accident: ______________________________________________________
Was your motorcycle involved____________________________________________
On a separate piece of paper give a description of the circumstances and list the type of assistance you are looking for. If it is to be a bill or bills to be paid, you must include a copy of the bill with account numbers. There are no cash awards. You must meet all qualifications as stated
Please return completed application to:
D.R.A.F care of
ABATE of Lexington
P.O. Box 85304
Lexington , SC 29073
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