Use this form to raise a request to claim your eosDAC tokens if you failed to generate right fallback keys for your Ethereum account.
Please leave either you telegram or discord contact for us to reach you.
**Prerequisites - No account on EOS chain generated by the genesis EOS distribution
***DO NOT ENTER YOUR PRIVATE KEY***
Never enter your private key anywhere you do not feel safe to do so - eosDAC will never ask for your private key