Screen Reader Mode Icon

Immediate Needs Cash Distribution – Application (Confidential)

The Pine Creek Community Restoration LTRO is pleased to offer an immediate wildfire relief cash disbursement through our United Way of Whitman County Agency partner. We are committed to creating a fair and equitable disbursement process for each affected household, leaning on the advice and best practices of our professional partners, wildfire relief fund managers, and the intentions of our donors. 

We anticipate it will take a few days to process these applications. We are working on making sure we do this correctly and consistent with our donor's wishes. Thank you!

If you encounter any technical issues while filling in this form, please email

Question Title

* 1. Applicant Information 

Question Title

* 2. In order to best determine your situation and provide a fair and equitable distribution process, we’ve selected a 4-Tier distribution formula. Please provide as much detail as possible in the box below and check one of the following categories:

Question Title

* 3. Please list household member's first name and ages

Question Title

* 4. By submitting this application you agree that all facts stated are true and up to date. We will be doing our due diligence to prevent duplication of services. Please acknowledge by typing your name and date.

0 of 4 answered