Relief Aid For Survivors of Wildfires

in Southern California

TzuChiLOGO_withTzuChi

Relief Aid For Survivors of Wildfires in Southern California

 

Apply to Receive Emergency Financial Aid
For Southern California Wildfire

Fields marked with an * are required

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:

APPLICANT INFORMATION

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)

(if available, not required)

CURRENT SITUATION

(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