Landry's Employees in Lake Charles Relief Fund

To our valued employees:

For those employees in need, please respond to the questions below in detail to help us better assess how we can help you with financial or material needs.

Question Title

* 1. What is your first name?

Question Title

* 2. What is your last name?

Question Title

* 3. Enter your date of birth.

Date

Question Title

* 4. Enter your address and contact information.

Address *

Apt # (if applicable)

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

Question Title

* 5. What concept do you work at? (ie. Saltgrass, Golden Nugget, etc.)

Question Title

* 6. What is your Employee ID number?

Question Title

* 7. What location do you work at?

Question Title

* 8. Enter your department (if applicable)

Question Title

* 9. Enter your position

Question Title

* 10. Are there minor children in your household for which you are financially responsible?

Yes

Landry's Employees in Lake Charles Relief Fund

Question Title

* 1. What is your first name?

Question Title

* 2. What is your last name?

Question Title

* 3. Enter your date of birth.

Question Title

* 4. Enter your address and contact information.

Question Title

* 5. What concept do you work at? (ie. Saltgrass, Golden Nugget, etc.)

Question Title

* 6. What is your Employee ID number?

Question Title

* 7. What location do you work at?

Question Title

* 8. Enter your department (if applicable)

Question Title

* 9. Enter your position

Question Title

* 10. Are there minor children in your household for which you are financially responsible?

Question Title

* 11. How many minor children are in your household?

Question Title

* 12. Enter the amount of relief that you are requesting.

Question Title

* 13. Describe the reason for your request.