ESC Local 20, IFPTE 2020 Wildfires Impact Assistance
If you or any other ESC Local 20 members you know are in need of fire-loss assistance, especially those who have lost their homes, please let us know using this form. Submission of this form does not guarantee assistance. Details of this form will not be shared widely and only as needed in the determination of the assistance process unless otherwise authorized.
Email address *
First Name *
Last Name *
Employer *
Job title
Home address
Personal email address
Work email address
Best contact phone number
Have you suffered a total loss from the 2020 wildfires? *
Have you suffered another kind of loss? Please describe below.
Thank you for your responses.
Someone from the union will be contacting you shortly to assist with further resources.
Never submit passwords through Google Forms.
This form was created inside of Report Abuse