Employee Organization Membership Authorization Form (PERC FORM 2023-1.101, Incorporated in R. 60CC-1.101, Effective July 1, 2023)

Exemptions from this form are provided in section 447.301(1b)6., Florida Statutes, as amended by chapter 2023-35, section 1, Laws of Florida. Please type or print legibly.

NOTE: The Class Title and Class Code Below will be completed by the Union, as the District assigns them.