SEIU 503 Wildfire Assistance Fund Donation Form

Donate to the fund to provide cash assistance for SEIU 503 members impacted by Wildfires

In times of need, we’re stronger if we pull together and lift each other up. That’s why our Union created a wildfire assistance fund to provide cash assistance to any SEIU member who has faced financial hardship due wildfires. Any SEIU member (or sub-local) may donate to the fund, and all members in good standing are eligible to receive funds.

Any member in good standing who is experiencing an economic hardship as a result of the wildfires is eligible to receive a cash benefit from this fund.
A payment up to $250.00 per member based on how much we are able to raise for the fund and how many members apply. Only one member per household is eligible.
Members apply online (can call MAC for assistance if needed).
Staff will track applications, donations, and disbursements and ensure that payments are made according to these guidelines.
Anyone can donate to the fund, including sublocals. We are asking for donations from members, sublocal leadership and staff.

First Name

Last Name

Cell phone †

†By providing my phone number, I understand that the Service Employees International Union (SEIU), its local unions, and affiliates may use automated calling technologies and/or text message me on my cellular phone on a periodic basis. SEIU will never charge for text message alerts. Carrier message and data rates may apply to such alerts. Reply STOP to stop receiving messages; reply HELP for more information.

(SEIU 503 staff please use work email)

Where do you work?

Donation amount

Cardholder's Full Name

Cardholder's Email

Billing address line 1

Billing address line 2

Billing City

Billing State

Billing ZIP

Billing Country

Credit Card Number

Credit Card Expiration Date

2-digit month

4-digit year

CVV (3-digit code on back of card)

The charge will appear on your statement as 'SEIU503 Wildfire Assistance Fund'

Contact Information