Complete this form to receive a free high quality air purifier courtesy of Topanga REACH & GEM. All information is confidential and solely used to prevent duplication of services and for charitable service compliance/reporting for the state of California.
Requirements
"Were you impacted by wildfire in 2025?"
"Was your residence destroyed or severely damaged by wildfire in 2025?"
"Do you feel negatively financially impacted due to the Wildfires of 2025?"
"Are you concerned with the overall air quality in Topanga Canyon?"
How to get help
Submit intake form
Recommended
Complete the intake questions and submit. Phone number is collected to arrange pick up; a copy of responses will be emailed to you.