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EAF RP

Cash Pickup Form

Emergency Assistance Foundation, Inc.

Emergency Assistance Foundation, Inc. has partnered with Convera to issue a cash disbursement for grant recipients without a bank account. The recipient will be required to collect the funds in person at a Convera Retail location. You may be eligible to use this option if:

  • Convera Retail locations are available in your country, please click Agent Locator to find an agent. Please Note: Retail locations are not available in Andorra, Angola, Armenia, Azerbaijan, Bangladesh, Bangladesh, Brazil, Cuba, East Timor, Estonia, India, Iran, Namibia, Nauru, Nigeria, North Korea, San Marino, Serbia, South Africa, South Korea, South Sudan, Sri Lanka, Sudan, Swaziland, Syria, Tajikistan, Turkmenistan, Tuvalu, Venezuela, Vietnam.
  • You have government issued identification. Please Note: Some countries may require two forms of government issued identification in order to collect funds.

Please be sure that all information entered below is accurate.  If you enter any information incorrectly, we will need to reach out to you and correct any errors, which may delay the process. If you have questions regarding this form please review Frequently Asked Questions (FAQ) or contact the Convera Global Pay Customer Service center by email  VendorManagement@convera.com. 

REFUGEES : Please enter your current location in the Contact Details Secion below.

IMPORTANT NOTE: You will receive an email notification containing a Money Transfer Control Number (MTCN) which must be taken with you to collect the funds. Emergency Assistance Foundation, Inc. and Convera claim no liability for any disbursement using erroneous information entered by the user.


Your Payment ID is included in the email notification you received.

Select the country in which you are located. Please note: If your country does not appear, there are no locations available.

Select currency in which you would like to receive your funds.

Select state/province you are located in

Payee Contact Details

Please provide your contact details below with your full name as listed on your government issued ID

Enter Company or Institution Name.

Enter First Name.

Enter Last Name.

Enter Street address of residence.

Enter City of residence.

Enter state/province of residence.

Enter zip/postal code of residence.

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