Local 47 Wildfire Relief Application Form

Local 47 Wildfire Relief Application Form

Emergency financial assistance is available for AFM Local 47 members impacted by the 2025 Los Angeles wildfires who have suffered total loss of residence, or whose residence is currently uninhabitable.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Member Account #
Please select one of the following:*

I have a total loss of residenceMy residence is currently uninhabitable
Additional comments (optional)
By clicking the "Submit" button below, I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Should be Empty: