LA SCCC One-Time, Full-Paid Contribution

SCCC logo

Thank you for supporting the
2022 Louisiana State Combined Charitable Campaign!

Please use this form to submit a One-Time, Full-Paid Gift towards the 2022 LA SCCC.

If you would like to make an individual pledge via payroll, please visit LEO.  

All donors are required to designate to at least one approved charitable organization from the 2022 LA SCCC Charity List. 

(To learn more about the LA SCCC and the participating charities, please visit

To make a One-Time, Full-Paid Contribution (via bank draft or credit card) please complete the form below:


Total Amount
LA SCCC One-Time Gift


Please find your Agency # & Employee Personnel # on your Remuneration Statement (top left corner)


“Total Designation Amount” value must equal “Total Amount” of your donation in order to submit your contribution.

We recommend that you do not use auto-fill to complete the payment section.

Total Designation amount should be same as the Total Amount