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Fraud Prevention Form

Please note – The completion of this form requires two image attachments.

  1. A photo or scan of your Driver’s License of Government Issued ID that clearly shows your first and last name.
  2. A photo or scan of your physical credit card. The bank name, cardholder name, and expiration date must be visible. You may block out all but the last four digits of the card number as shown in the example below.

Example of credit card for fraud prevention