Letter of Good Standing Request Form

Who is This Letter is For?

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Address REQUIRED Please fill out this field. Please enter valid data.
City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Email REQUIRED Please fill out this field. Please enter an email address.
Reason for Letter REQUIRED Please fill out this field.
If "Other," briefly explain
If related to a Sacrament, please list the date of the event and the name of the child/person receiving the sacrament.

Required Criteria for this Person

Person Requesting Record

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Contact Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Email REQUIRED Please fill out this field. Please enter an email address.

How and Where to Send Completed Letter

Method(s) to Send Record REQUIRED Pick up (Cody Center) Email Mail Please fill out this field.
Organization this letter is to be sent to? REQUIRED Please fill out this field. Please enter valid data.
Destination Contact's Name REQUIRED Please fill out this field. Please enter valid data.
Destination Contact's Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Destination Contact's Email Please enter an email address.
Destination Mailing Address Please enter valid data.
City Please enter valid data.

State

Zip Please enter a zip code.

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