Tzu Chi volunteers are providing immediate assistance to those impacted by the Southern California wildfires. Please enter your information below to begin the disaster relief aid application:
This information will be used for community demographic analytics.
Date of Birth *
(Optional) Please fill out your email address to receive a confirmation or further notifications.
(Please provide your cell phone number to receive a TEXT message confirmation and further notifications.)
(Accepted forms of identifications include Driver’s License, State ID, Passport, utilities bills, etc.)
(if available, not required)
(Submit only one application per family)
Please, no PO BOX's as we need to verify actual location damage.
Example: Enter 7A instead of #7A, Apt 7A, Space 7A, Unit 7A.. etc
Write “Same” if the current address is the same as Prior to Disaster Home address
Family member #1
Family member #2
Family member #3
Family member #4
Family member #5
Family member #7
Family member #8
Family member #9
Family member #10