LA SCCC One-Time, Full-Paid Contribution | Louisiana Association of United Ways

Thank you for supporting the
2025 Louisiana State Combined Charitable Campaign!

Please use this form to submit a personal One-Time, Full-Paid Gift towards the 2025 LA SCCC.

To make your pledge via payroll deduction, please visit LEO.

All donors are required to designate to at least one approved charitable organization from the 2025 LA SCCC Charity List.

To learn more about the LA SCCC and the participating charities, please visit www.LASCCC.org.

To make a One-Time, Full-Paid Contribution (via debit/credit card) please complete the form below.

ALERTS:
We recommend that you do not use auto-fill when completing this form.
Please do not use commas (,) or the $ sign within your donation entry.

LA SCCC One-Time Gift

MY INFORMATION:

First Name *

Last Name *

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

Agency # *

Employee Personnel # *

Street Address

City

State

Zip Code

Email Address *

Phone *

Anonymous

Please keep my gift anonymous

MY DESIGNATION:

Designation #1 *

Designation #1 Amount $ *

Designation #2 (Optional)

Designation #2 Amount $

Designation #3 (Optional)

Designation #3 Amount $

Designation #4 (Optional)

Designation #4 Amount $

Designation #5 (Optional)

Designation #5 Amount $

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

Total Designation Amount $

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

A percentage of funds collected will be used for the fundraising and administrative expenses (FRA) for the LA SCCC. Estimations of FRA expenses as per the approved 2025 LA SCCC budget is 18%. The actual FRA percentage for the 2025 LA SCCC is contingent on the final fundraising outcome.

QUESTIONS: please call 225-295-6631 or e-mail sccc@launitedway.org

Louisiana Association of United Ways proudly serves as the Principal Combined Fundraising Organization for the Louisiana State Combined Charitable Campaign.