UFCW 8 Member Disaster Relief Request

UFCW 8 Member Wildfire & Disaster Relief Request

If you are a UFCW 8-Golden State member or retiree in need of assistance due to a wild fire or other disaster, please use the form below.

PLEASE NOTE: If you have already submitted a request for assistance, please do not submit additional requests. We are processing requests and following up with members if additional information is needed.

Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Employer

(i.e. Safeway, Raleys, Rite Aid, Save Mart - If retired, list the employer you retired from)

Location or Store Number

(If applicable)

Are you an Active or Retired member of UFCW 8?