Letter of Good Standing Request Form

Who is this letter 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 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, please explain

If related to a Sacrament, please list the sacrament, date of sacrament, name of the child/person receiving the sacrament, and the church where the sacrament is being received.

Required Criteria for this Person

Is this person a registered parishioner of San Rafael? REQUIRED Yes No Please fill out this field.

Has this person been volunteering his/her time within the Parish? REQUIRED Yes No Please fill out this field.

Does this person fulfill his/her obligation to participate in Sunday Mass & Holy Days? REQUIRED Yes No Please fill out this field.

Does this person contribute financially to the Parish on a regular basis? REQUIRED Yes No Please fill out this field.

I certify that, to the best of my knowledge, the provided information is true and accurate.

I Agree Please select this field.

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.

Phone Number REQUIRED 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 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 Please fill out this field. Please enter a phone number.

Destination Mailing Address 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.

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