Wildfire Emergency Response Request

Submit your request for wildfire relief assistance through NMPSIA's emergency response program.

Important Documents

For recently displaced members in Grant County

6/26/2025: Wildfire Emergency Order Letter to Members - Grant County Trout Fire

6/17/2025: Affect of Wildfire Executive Order - Grant County Trout Fire

For displaced members in Lincoln County and Mescalero Apache Reservation (still in effect)

11/15/2024: Notice of Extension of Wildfire Emergency Order

6/28/2024: NMPSIA Notice Regarding Wildfire Emergency Order

Required Fields: All fields marked with an asterisk (*) are required.

Emergency Relief Request Form

First name

Please enter your legal first name

Last name

Please enter your legal last name

Last four digits of Employee SSN

Enter only the last 4 digits of your Social Security Number

Employer ID

Select your school district or employer

Zip code

Enter your 5-digit zip code

Important Notice: Under no circumstances should an individual seek any such relief if he or she does not qualify for relief. Any application for such benefits which knowingly relies on false information is subject to denial of coverage and may be in violation of state statutes.

By my electronic signature, I acknowledge that I have read, understand, and agree to the policies and requirements outlined above.