ID Clinic Assistance Request

This form is suspended until further notice.
For more information about the LUM ID Clinic, click HERE.

Due to COVID-19, the LUM Office is closed for visitors. If you wish to request assistance in obtaining an ID during this time, you must complete the request form below. LUM staff members will review your request each THURSDAY morning and call or email you. For more information about the LUM ID Clinic, click HERE.


  • Step 1 — Fill out request form below
  • Step 2 — Click SUBMIT.
    • IMPORTANT — Stay on this page until the form is done processing. You will receive an email confirmation, if it is submitted properly.
  • Step 3 — Your request will be reviewed. You will be emailed or called with follow up questions. An appointment time will be set to complete any needed birth certificate applications.

Nondiscrimination Statement – Lafayette Urban Ministry does not and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, military status, political association or belief, or union affiliation or activity, in any of its activities or operations.