Training & Events
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NATADS credentials is required to post the repaired item. Does your organization have NATADS credentials?
Date Device was Donated to Your Program
Is someone waiting for the repaired item?
Terms & Agreement
Type your name in the box below to accept the terms of the following statement: I certify that the device repaired with Keep the Wheels Rolling Repair Fund is not owned by an individual with a disability, and will be reassigned to a new owner for free. The organization requesting funding and all individuals affiliated with the organization do not have the right to sell purchased parts or the repaired scooter/wheelchair.
IRS Determination Letter
For first time applicants, please also upload or provide a copy of IRS determination letter of tax-exempt status.