Volunteer Hours Verification Request Form

Volunteer Hours Verification Request Form

You must allow 2 business days (Mon-Thur) to process your request before a letter or verification will be provided. Please be accurate and thorough in your answers as this helps us locate your records more quickly.
Full Name*

PrefixFirst NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Fill in the dates you served your hours at KCM. ***NOTE, We can only verify hours that you signed in/out for at the time of your service.*
Month/Day/Year
Date your letter or verification is needed by (Mon-Thurs only):

MonthDayYear
Must allow 2 business days (Mon-Thurs)
Please provide any other info we need to know. Ex: Verification is to be completed online (weblink) etc.
Should be Empty: