Product Order Form

Most orders take 5-10 business days to process and will be shipped via UPS. (Individual contracts may be sent via the US Postal System.)

If you do not receive your materials within 14 business days, please call our Member Resource Center toll-free at 1.866.371.3200.

MATERIALS AVAILABLE:

1. New Employee Orientation (NEO) packets (WA DSHS and IPs only)

NEO packets contain:

One English membership form
One full Collective Bargaining Agreement (CBA) with the State of WA
One WA voter registration card
2. Membership Forms – available in English, Spanish, Russian, and Korean

3. Collective Bargaining Agreement (CBA) – both full agreement and summary are available

Name

First Name Last Name

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Phone Number

Area Code Phone Number

Email

example@example.com

Affiliation

Please use the dropdown menu to select your employer/contract name. This will ensure we send you the right contract and ensure we pre-print the correct Employer on any Membership Forms you request. (For example, if you work for DSHS, are an IP or serve IPs, then pick the first item on the list, "State of Washington - IPs").

How many NEO packets do you need?: New Employee Packets (WA DSHS & Individual Providers Only). Each packet contains an English membership form, voter registration form, and full CBA for the State of WA.

Membership Forms Please indicate the number of Membership Forms you need. If you are DSHS or an IP, these are **separate** from the membership forms included in NEO packets.

English

Spanish

Russian

Korean

How many copies of the full Collective Bargaining Agreement do you want?

How many copies of the Highlights/Summary do you want? (DSHS only)

Comments/questions