IDignity Orlando Client Service Request Form

I'm in need of servicesI'm requesting services for somebody else

Born a US CitizenBecame a US CitizenLegal ResidentNot a Legal Resident

Please indicate state of birth if born in the US, or the country you were born in.

Florida Identification or Drivers LicenseSocial Security CardUS Birth CertificateOther Identification Documents

IDignity does not assist with ordering birth certificates from outside of the US or passports.

Yes - Valid Florida IDYes - Valid ID from another stateYes - Expired IDYes - Photocopy or picture of an IDNoUnsure

Yes - Original / Certified CopyYes - PhotocopyYes - Unsure if it's original or notNoDon't KnowYou can often tell by checking for a raised seal on the document.

Other original record(s)Photocopy of other record(s)None of the above

Proof of current private residenceProof of residence at a shelter or transitional programProof of homelessness (letter from agency)Letter of residency from person client is living with, as well as 2 proofs of that person's addressOther

If none, please leave blank

Case managerClientPlease make sure contact information for either case manager or client is submitted, or we will not be able to contact you.

Over the phone (IDignity will reach out to schedule)Client's phone appointment has already been scheduled with their case managerIn person with an appointment (IDignity will reach out to schedule)In person - client will walk up on a Tuesday or Thursday before 10amPlease ensure you have enough phone minutes if you choose to do it over the phone; budget around 30-45 minutes.

IDignity Orlando Client Service Request Form

Please still fill out this request form so that we have record of your client's needs and can appropriately prepare for our appointment with them.

Submitter Information

Client Information