Caddo Schools Employee Assistance Fund (CSEAF)

Name(Required)
Work Site/School Address(Required)
Work Email Address(Required)
If you are unsure of your hire date, please select the year only.
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Sex(Required)
Please describe the situation that has caused your recent financial emergency.

Request for Payment

United Way of Northwest Louisiana will pay the vendor on your behalf. Please ensure all information is correct below.
Payee Name(Required)
Payee Address(Required)
How do you want to receive your check?(Required)
Permission to Share Information(Required)

Appropriate disclosures, authorizations

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