<%- # License: AGPL-3.0-or-later WITH WTO-AP-3.0-or-later # Full license explanation at https://github.com/houdiniproject/houdini/blob/master/LICENSE -%>

<%= render 'common/modal_header', title: 'Identity Verification' %>

Please complete this form to verify your identity. This information serves as an extra security measure to prevent fraud, and is required by Stripe (our payment processor).

You can find out more about Stripe's identity verification process here.

All information submitted through this form is 256-bit SSL encrypted.

Organization Info for <%= @nonprofit.name %>

Organization Address

City

State <%= render 'common/states_dropdown', default: @nonprofit.state_code, name: 'address.state' %>

Postal code

EIN (Business Tax ID) of Organization (9 digits)

Your Info

First name

Last Name

Date of birth / /

Last 4 of social security number

By clicking "Submit", you agree to Stripe's Connected Account Agreement.

<%= render 'components/forms/submit_button', button_text: 'Submit', scope: 'identity_verification' %>