Please enter your name as you would like it to appear in the form.
Please enter the participant's name as you would like it to appear in the form. Your Name and Participant's Name will be different if you are filling this out for a child, pet, building, etc.
This is the email address you'll use to store and retrieve your filled-in form.
EMC² AIM Program Photo Upload
This page is for AIM Program participants to upload a new photo, if needed or desired, or to upload a new photo for someone renewing on a Family Plan.
If you are a first-time participant, please use the Individual Application Form.
If you are renewing AIM, but not on a Family Plan, please use the Renewal Form.
Both the Individual Application Form and the Renewal Form allow you to upload a photo. You can also email a photo or send it by regular mail. Addresses are at the bottom of the page.
Name: EMC² IDCode: (if you know it)
CURRENT CONTACT INFORMATION
I understand my application requires a photo for use on the AIM Program. I will submit a photo:attached below (preferred). via email. via postal mail. this is a renewal - photo on file.
Photo, if attached, is of (Name of the subject in the photo)
Use this button to save your form and get a link to go back to it later. You must enter a name and email address at the top of this form to save a draft.
Download this form as a PDF for your records. You must save as a draft or submit the form before you can download a PDF.
This button stores the filled-in version of your form and submits it to EMC² and lets you download the filled-in pdf for your records. Once you submit the form, you will not be able to change it.