SMALL BUSINESS STRONGLA Wildfire Relief Fund

SMALL BUSINESS STRONG

LA Wildfire Relief Fund

Eligibility Criteria:

You are/were unable to work because of evacuation orders, physical damage and/or you live/work in an impact area (eg. landscaper in an impact area) as a result of the wildfires that began on 1/7/25 in the LA area

Name*

Home Address*

Preferred Phone Number*

Phone

Email*

Preferred Method of Contact*

Select or enter value

How did you hear about us?*

Business Name*

Business Start Date*

mm/dd/yyyy

Business Address

if different from home address

Business Structure*

Select or enter value

Business Ownership*

What percentage of the business do you own?

Business Description*

Business Annual Revenue*

Eligibility Verification

How have you been impacted?(select all that apply)*

Select or enter value

Address of Impact

If different from home or business, provide it here. For example- clients, suppliers, storage etc.

Any additional details on how you were impacted?

Please provide the following 3 items:

Form of Identification -Driver’s License, passport (can be foreign), or other government issued photo ID

Pre-impact business bank account statement - If you do not have a business bank account, we will accept personal bank account statement, Cash app, or Venmo.

File Upload

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