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DISASTER RELIEF GRANT PROGRAM:

APPLICATION FOR 2025 SOUTHERN CALIFORNIA WILDFIRES

INDIVIDUAL CALIFORNIA DENTISTS, DENTAL STAFF AND DENTAL SOCIETY STAFF APPLICATION

Thank you for expressing interest in the CDA Foundation and its disaster relief grant program. We are sorry for any loss you may have sustained as a result of the 2025 California wildfires.

Application Deadline: CDA Foundation will accept applications until 90 days after the start date of the disaster (per CalFire Incident Information webpage) or when funds are exhausted, whichever date is earlier.

The CDA Foundation Emergency Disaster Relief Program is a one-time, single-installment grant that provides financial assistance of up to $2,500 per California dentist, dental staff member or dental society staff member for immediate and emergency needs (food, shelter, clothing, etc.) as a direct result of the 2025 Southern California wildfires. These grants are provided through the CDA Foundation Disaster Relief Fund. The Disaster Relief Fund furthers the exempt purpose of the CDA Foundation by making grants available to eligible recipients to restore emergency dental care in areas affected by disasters and to provide a small measure of emergency financial assistance to members of the dental profession who are victims of disasters.

 

Applicants are deemed appropriate for relief at the discretion of the CDA Foundation Board of Directors. All applications for relief are to be submitted to the CDA Foundation directly.

Applicant Criteria

  • One complete application must be received for each individual seeking emergency assistance.
  • Disaster grants are provided to individuals only and will not be offered to nonprofit organizations.
  • Eligible individuals include California dentists, dental assistants, dental hygienists, dental business office staff and lab technicians currently employed in the dental field, CDA staff and dental society dental society staff members. Applicants are not required to be members of the California Dental Association in order to be eligible for receipt of monies.
  • Up to $2,500 is available for each eligible dental professional who is impacted by the 2025 Southern California wildfires aftermath. For example, if a dentist’s practice is lost to a fire and staff members are displaced while the practice is relocated, the dentist along with all his/her staff may each individually apply for a grant.
  • If an eligible individual loses his/her home, the eligible individual could also apply for additional funds (maximum of $1,500 per person, $5,000 total) to cover his/her immediate family members (spouse, child who is a minor or full time student up to age 24, and other relatives who are listed on the individual’s tax return as a dependent) living in the house at the time of the fire for assistance with the immediate needs of food, shelter, clothing, etc.
  • Reimbursements for lost wages will only be considered for eligible individuals as noted above. The eligible individual must agree they will not be compensated for lost wages in any other way to include but not limited to: from their employer, unemployment, disability, workers’ compensation or any other source which is related to this specific disaster.
  • All applications will be reviewed based on the need of the individual. A submission of a Disaster Relief Grant application does not automatically entitle the applicant to a grant.
  • Individuals may not receive more than one emergency grant.
  • Disaster grants are for meeting immediate and emergency needs of the individual.
  • Disaster grants are not insurance.


It is not the purpose of the Relief Grant funds to:

  1. Provide continuing assistance when the beneficiary is eligible for, or receiving, satisfactory aid from local, state or federal agencies.
  2. Provide funds for the payment of insurance premiums or deficit in insurance coverages.
  3. Provide assistance solely to conserve the resources or assets of an applicant.


Questions
: Contact Marissa Allen, Foundation Manager, at 916.554.7349 or Marissa.Allen@cda.org.


 

CDA FOUNDATION DISASTER RELIEF GRANT PROGRAM APPLICATION

Incomplete applications are ineligible to receive a grant.

Please provide your temporary contact information:

At the temporary address until
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Please provide where you would like your grant check mailed:*
Do you have insurance coverage for your practice facility?*
Do you have insurance coverage on your home?*
Do you have a relationship with any CDA, TDIC or CDA Foundation officers, directors, key employees, or substantial contributors?*

Required attachments:

Certification


I acknowledge that the decisions of the CDA Foundation are final.  I understand that the granting of assistance is neither a right nor entitlement. I certify that the information provided is complete and accurate to the best of my knowledge. I understand that this application may be denied or withdrawn if it is incomplete and/or if any information reported is found to be intentionally misleading, inaccurate or fraudulent. I further certify that I have suffered a disaster to my dental practice and/or residence as stated in this application.

I authorize the CDA Foundation to use my name and/or photo for the purpose of community and public relations.

Date signed*
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