To join NAPE, complete the form below. After you’ve completed this form, you’ll be able to review your membership card and sign it before final submission.
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NAPE/AFSCME Membership Form
NEBRASKA ASSOCIATION OF PUBLIC EMPLOYEES (NAPE) LOCAL 61 of the AMERICAN FEDERATION OF STATE, COUNTY, AND MUNICIPAL EMPLOYEES (AFSCME) AUTHORIZATION for PAYROLL DEDUCTION (Per Nebraska Statues Sec. 48-224 RRS 1967)
TO:
TO:
Name of Employing Agency
Work Location & City
TO:
TO:
Social Security Number (last 4 digits only)
NIS Employee Number (if known)
BY:
First Name
Last Name
Middle Name
Effective (Today's Date)Today's Date I hereby request and authorize you to deduct from my earnings an amount sufficient to provide for the regular payment of the current rate of monthly association fees established by NAPE/AFSCME. The amount shall be certified by NAPE/AFSCME; any change in such amount shall require a membership vote and shall be certified. The amount deducted shall be paid to the Treasurer of NAPE/AFSCME. This authorization may be terminated by written notice to NAPE/AFSCME during June's open withdrawal period and at no other time during the year.
