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Get Dorothy Bjork Assistance Fund

One-time Contribution Send checks made payable to CSEA Dorothy Bjork Assistance Fund and application in an envelope and mail to CSEA Headquarters. California School Employees Association GENERAL INFORMATION BULLETIN AFL-CIO February 22 2013 General Information Bulletin No. 10-13 DOROTHY BJORK ASSISTANCE FUND DEDUCTION APPLICATION Action for Chapter Presidents For discussion at chapter meetings to let members know that a Voluntary Assistance Fun.

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How to fill out the Dorothy Bjork Assistance Fund online

The Dorothy Bjork Assistance Fund provides vital support to individuals within the California School Employees Association. This guide will walk you through the process of filling out the online application, ensuring that you can contribute with ease and confidence.

Follow the steps to complete the Dorothy Bjork Assistance Fund application online.

  1. Click ‘Get Form’ button to obtain the application and open it in your preferred online document editor for filling out.
  2. In the first section, clearly input your last name, first name, and middle initial. Ensure that you print this information legibly.
  3. Next, enter your CSEA identification number or your social security number. This information is important for processing your application.
  4. Provide your CSEA chapter number. If you do not know your chapter number, please check with your local CSEA representatives.
  5. Fill in the employer name and district accurately. It is important to include the full, correct name for processing.
  6. Complete your home address, including city and zip code. Make sure to double-check for accuracy.
  7. Then, list your work telephone number including any extension, home telephone number, and a cell phone number for additional contact.
  8. Provide your email address for electronic communication. This will help in any follow-up processes.
  9. Enter your birthdate. This personal information helps verify your identity.
  10. Indicate your contribution preference by selecting either payroll deduction or a one-time contribution. Enter the designated amounts in the provided fields.
  11. If you wish to increase your membership contribution, specify the new amount per month.
  12. Finally, sign and date the application to authorize the deduction. Without a signature, your application cannot be processed.
  13. Once you have completed all sections, review the information for accuracy. After ensuring everything is correct, follow the instructions to save, download, or print the completed application for submission.

Start filling out your application for the Dorothy Bjork Assistance Fund online today!

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