Legacy Employee Assistance Fund - Payroll Deduction
Use the below form to make a donation by payroll deduction.
If you would like to make a donation by credit card, please click here.
If you would like to make a donation through our printable form, please click here.
If you are a Legacy employee and you need assistance, complete the application and submit to email@example.com. Limit one application per household.
If you need assistance completing this form, email firstname.lastname@example.org .