Los Angeles Wildfire Family Assistance Form
The recent wildfires have brought unprecedented challenges to our community. At The Do Good Daniels Family Foundation, we are committed to offering support to those affected. Through direct assistance, resources, and partnerships, we aim to address your immediate needs. Please share with us how you have been impacted and what support would be most helpful to you right now. Together, we hope to aid in your recovery and rebuilding efforts.
Name
*
First Name
Last Name
Phone Number
-
Area Code
Phone Number
E-mail
*
Job Title
City of Affected Residence
*
Pacific Palisades
Altadena
Pasadena
Arcadia
Monrovia
Household Size
Displacement Status
*
Permanently displaced
Temporarily displaced
At risk of displacement
Were you renting or owning your home prior to the wildfire?
*
Renting
Owning
Living with family/friends
Number of Children
Anyone under 18
Do you have a crowdfunding fundraising campaign (ex. Go Fund Me)?
Please provide campaign link or name
Tell us Your Story
*
Please share any details about how the wildfires have impacted your family.
What is Your Greatest Need Right Now?
*
Please describe the support or resources that would be most helpful to you and your family at this moment.
Submit
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