LASAFAP Retirement Form
Full Name
*
First Name
Last Name
E-mail Address
*
Telephone #
*
Type of Telephone #
Mobile
Work
Date of Retirement
*
-
Month
-
Day
Year
Date Picker Icon
Title or Position
*
Current Parish Serving or Last Parish Served
*
Other Parish(es) Served
*
Years of Service in LASAFAP
*
Years of Service in Education
*
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*
Submit Retirement Form
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