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My Dot Benefit Story Submission Form

If a Dot benefit has helped you or your family, we’d love to hear your story. Whether it brought peace of mind, helped during a tough season, or simply made life a little easier, your experience could encourage and inform others.

"*" indicates required fields

About You

Your Name*

Your Story Preferences

May we share your story in internal Dot communications (such as the Benefits Bulletin or benefits emails)?*
If shared, would you prefer to remain anonymous?

Tell Us Your Story

(Share as much or as little as you’d like. Specific details help others understand the impact.)

Your story may be shared through Dot communications channels, including internal communications and, with your permission, external communications such as Dot's social media channels, website, and other marketing materials. If your story is selected to be featured, you will have the opportunity to review and approve the final version before it is published in any internal or external channel. We will never share your story externally without your explicit permission.

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