You are now beginning an application for benefits for the Atlanta 3/16 Survivors’ Fund. You may choose Save at any time to finish the application later, but you must finish this application by hitting the “SUBMIT” button on the final page by 11:59 PM on July 16, 2021. If you do not see a screen confirmation message and receive an e-mail message confirming that you have completed the application, you have not formally submitted the application and are not yet eligible for benefits.
Fields marked with a * are required. "Applicant" refers to the person completing this application. "Victim" refers to the person who was killed/injured/affected as a result of the shootings at the Gold Spa, Aromatherapy Spa, or Young’s Asian Massage on March 16, 2021. "Representative" refers to the legal representative of the victim.
The rules for how these funds are to be distributed is governed by the FINAL PROTOCOL which is available online at: