Central Coast Labor Council Workers Relief Fund
If your home was lost, damaged or you're are unable to return to your home for a prolonged period of time, please fill out and submit the form below.

Alternatively you can CLICK HERE: https://tinyurl.com/ydcxx95k or send the requested information to daniel@centralcoastlabor.org or call 805-987-0101.

Once you've completed this form, emailed or called us -- we will be touch. Please be prepared to let us know which union you are a member of and before we can send you a check, we will need some form of documentation of your loss (i.e. a form from FEMA, the county or your insurance company).

Name *
Your answer
Address, City *
Your answer
Cell Phone Number *
Your answer
Email Address *
Your answer
What union are you a member of? *
Your answer
Please briefly describe your hardship: (Description of loss, percentage of loss, extended displacement due to smoke, etc.) *
Your answer
How many family members live in your household?
Your answer
How many children live in your household?
Your answer
Do you have any immediate needs that we can help you resolve?
Your answer
Submit
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