LRFA

Latvian Relief Fund of America


LRFA is a professionally managed, non-profit, mutual assistance organization, designed to provide our members with affordable health care plans and financial assistance in emergencies. We support other Latvian-American organizations and education in the U.S. and abroad.
Membership Benefit Plans About Us Forms Contact Us
Information Request Form
Membership Enrollment
Change of Address
Benefit Plan Enrollment
Travel Plan Enrollment
Benefit Claims
Make a Payment

New Card Request Form

If your LRFA Membership card is lost or stolen or you need a replacement card, please fill out the form below. A new card will be sent to your current address.

Red indicates a required field.

First Name
Last Name
Middle Initial
Membership #
Date of Birth (mm/dd/yyyy)
Address
Address (line 2)
City
State
Zip Code
E-Mail Address
Telephone

 

© 2017 LRFA   -   P.O. Box 8857, Elkins Park, PA 19027-0857   -   info @ lrfa.org

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