Please provide the following contact information:

If you are a member of the Los Angeles Police Department, you may make your charitable donation through the Department's Pay Roll Deduction Plan.

First name
Last name
Title
Organization
Street address
City
State
Zip
Work Phone
Home Phone

If you have a City employee number or Serial number please insert here:

Employee/Serial Number

Choose one of the following payment plans:

Will mail a check made payable to the William H. Parker Los Angeles Police Foundation to the address indicated below.

Request a LAPD Charity Plan, Payroll Deduction Card.

What additional information are you requiring?

 Print out and mail, or fax back using the below information