LA County Household Relief Grant Interest Form

The County of Los Angeles has partnered with The Center by Lendistry to offer grants of up to $18,000 to those affected by the 2025 Los Angeles County Eaton and Palisades fire and windstorm events.

Please submit your information to be notified when the application window for this Program opens.

First Name
Last Name
Email Address
Phone Number Phone Number - ### - ### ####
Address Address
Street Address Address Line 2 City State / Province / Region Country
Zip Code
Total Number of Household Members
Is this a multi-generational household (defined as more than 2 generations in a household)?

Is this a multi-generational household (defined as more than 2 generations in a household)? Yes No
Is your household insured?

Is your household insured? Yes No
Was your primary residence directly impacted by the 2025 Los Angeles County Eaton and Palisades fire and windstorm events?

Was your primary residence directly impacted by the 2025 Los Angeles County Eaton and Palisades fire and windstorm events? Yes - My primary residence was completely destroyed. Yes - My primary residence was partially destroyed or severely damaged, making it uninhabitable, and household members cannot return. No - My primary residence was not destroyed or damaged, and household members can safely return.
Has your household lost a source of income due to the 2025 Los Angeles County Eaton and Palisades fire and windstorm events?

Has your household lost a source of income due to the 2025 Los Angeles County Eaton and Palisades fire and windstorm events? Yes - a member of the household lost a home-based business. Yes - a member of the household's job was lost. Yes - a member of the household's income was lost due to lost employment, equipment or tools. Yes - a member of the household's income was lost due to lost vehicle. No - the household's income has not been affected.
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