Paystub Request

Please fill out the information below and a Light of Life Inc representative will contact you!

First Name

Last Name

Send to Email: (If Applicable)

Phone Number

How Many? (Bi-Weekly)

Send to Fax: (if applicable)

Pick up Date: (if applicable)

How would you like it?

By Pick Up: Thursday or Fridays By Email: Include email in request By Fax: Include fax in Form

Get in Touch With Us

Whether you’re exploring care options for a loved one or need help understanding our services, we’re here to guide you every step of the way.