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Welcome to LONG-LEWIS™ est. 1915!

Benevolence Loan Request

You must be employed for 90 days to be eligible for assistance.

  • Employee in Need Information

  • MM slash DD slash YYYY
  • Person Making Request Information (if other than Employee in Need)

    This section is ONLY required if you are the person making this benevolence request on the behalf of the Employee in Need.
  • Benevolence Loan Request Information

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • Please explain the emergency or hardship situation. What specifically will the funds be used for? (Only under special circumstances will we make checks payable to an individual.)