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SHORT TERM EMERGENCY SUPPORT REQUEST & ATTESTATION Southern California Wildfire Assistance October 2019 Deadline for form submission: 1/11/20Name: Date: Employee/Physician #: Job Title: Department:
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Short term emergency support refers to financial assistance provided to individuals or families in urgent situations that require immediate help, such as natural disasters, loss of income, or medical emergencies.
Individuals or households experiencing a qualifying emergency situation are typically required to file for short term emergency support to receive assistance.
To fill out the short term emergency support application, applicants should provide all required personal information, details of their emergency situation, and any supporting documentation as specified by the assistance program.
The purpose of short term emergency support is to provide timely financial aid to those in immediate need, helping them stabilize their situation and prevent further hardship.
Applicants must report personal identification details, the nature of the emergency, income and asset information, and any other relevant documentation that supports their request for emergency assistance.
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