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, a.s amended by chapter 2023-35, section 1, Laws of Florida. Please type or print legibly.

 

NOTE: You do not need to complete the Class Title and Class Code fields. These are assigned by the District and will be completed by the union after receipt.