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

Signature of the Membership Authorization Form is required to be counted by the Public Employee Relations Comission. You may view the Form after completion by clicking on the Preview PDF button below.

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.