Dac Message 1164

<p><strong>Dentist's Statement or Letter</strong></p> <p>Please make sure your document includes:</p> <ul> <li>Your name.</li> <li>Your home address listed on your application.</li> <li>The name of your dental service provider.</li> <li>The phone number of the service provider.</li> <li>The date the dental injury or illness happened.</li> <li>Proof that the injury or illness was caused by the disaster.</li> </ul>