Since 1929

Labor Release Form

Please use the following submission form. If there are multiple laborers please use as needed.

NAME:  
EMAIL:  


Laborer Name
Release Date
Release Time
Location Released From
Notes
 
       
     
:
       

 

101 Millstone Road, Broussard, LA 70518
Phone (337) 839-5000
Fax(337) 839-5001
Toll Free: (800) 737-FUEL (3835)

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