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Relief Fund
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Shaver Lake Lions Club Creek Fire Relief Fund
Order Number
We realize that the Creek Fire has affected many people in the mountain community, and we are here to help. To better help you as you transition after the fire, please provide us with information about your particular circumstances. All information is voluntary. You don't have to disclose information that you don't want to share.
Area/Evacuation Zone
Auberry
Big Creek
Burrough Valley/Sycamore
Huntington Lake
Jose Basin/Big Sandy
Meadow Lakes
Pine Ridge
Shaver Lake
Shaver Springs
Tollhouse
Your Name
Email Address
Contact Phone Number
Additional Phone Number
Application Date
*
Address of Lost or Damaged Property
Temporary Address
Current Mailing Address
Tell us about your situation.
Do You Have Insurance?
Yes
No
Was Home Damaged?
Yes
No
Complete Loss?
Yes
No
Primary Residence
Yes
No
Property
Own
Rent
Members in Household?
Number of Kids
School Kids Attend?
Big Creek
Foothill Elementary
Pine Ridge
Sierra Junior High
Sierra High School
Other
If Other
Do You Need Help in Finding Temporary Housing?
Yes
No
Do You Have Pets?
Yes
No
Do You Have Other Financial Assistance Available?
Yes
No
