Organization / Individual Pickup Coordination Form

Coordinate Los Angeles Wildfire Relief Donation Pickup and Distribution

We love you, L.A., and the Los Angeles Mission is here to help in your time of need. It takes an entire community, and we are honored to support our beloved Angelenos through this crisis.

If you are in need of assistance, please fill out this form so we can better understand and evaluate your needs. Recovery efforts are evolving and can change day by day, as long-term recovery efforts can take months. The availability of donations and items will vary day by day and will be assessed on a case-by-case basis by our team.

Filling out this form DOES NOT GUARANTEE fulfillment of all requested needs. Given the volume of requests, we kindly ask for your patience and flexibility as we work through them. Thank you for allowing us the opportunity to support you during this time of need.

 

Name(Required)
Address
Organization Address
Have you worked with the Los Angeles Mission before?
If picking up for individuals or other groups, please describe your role in coordinating
Are you available to pick up from our warehouse at 351 S. Anderson Street Los Angeles CA, 90033?
MM slash DD slash YYYY
Preferred Pickup Time
:
Are you currently unhoused or evacuated and in-need of connection to resources?

How did you hear about us?(Required)

Would you like to receive updates and future opportunities from us?
If needed, may we have your consent to release and share your information with a local organization to help match your need, in the case we cannot fulfill your request?(Required)
This field is for validation purposes and should be left unchanged.