CAL FIRE Local 2881 Membership Application

CAL FIRE Local 2881 Membership Application

Only active CAL FIRE BU8 employees may sign up.
I hereby apply for membership with CAL FIRE LOCAL 2881 and agree to abide by the CAL FIRE LOCAL 2881 Constitution and Operating Procedures (C&OP). I understand the monthly membership dues are currently

$152.55, subject to change as outlined in the C&OP, plus a one-time, non-refundable new member IAFF initiation fee of $10.00. I understand and acknowledge that membership in CAL FIRE LOCAL 2881

is not a requirement for employment with the State of California.

I authorize CAL FIRE LOCAL 2881 and the State of California Controller to deduct from my salary and transmit to CAL FIRE LOCAL 2881 an amount designated by me for membership dues and for any benefit program sponsored by CAL FIRE LOCAL 2881 that I have elected.

This deduction authorization remains in effect until canceled by me or by CAL FIRE LOCAL 2881. I agree that I will

remain a member of CAL FIRE LOCAL 2881 unless and until I withdraw during the defined period as set forth in California Government Code section 3513(i), and the CAL FIRE LOCAL 2881 Operating Procedures, §0410.05.
Full Name*

First NameMiddle InitialLast Name
Birth Date*

MonthDayYear
Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Format: (000) 000-0000.
Social Security #*
Format: 000-00-0000.
Chapter*
Mandatory Field
E-mail*
**NO CA.GOV EMAILS**
PermanentLimited TermSeasonal
Classification*
YesNo
YesNo
Beneficiary Designation*
Relationship*
CHECK below to authorize L2881, upon retirement, to enroll me as a retired member and notify CalPERS to deduct retired member dues (currently $7.00) from my retirement allowance.

If checked, I also authorize the deduction of active retired membership in the IAFF (currently $9.80) and the CPF (currently $9.25) from my retirement allowance.

This authorization shall remain valid until I cancel by notifying L2881 in writing to terminate such retiree deductions.
Local 2881(currently $7.00)IAFF (currently $9.80)CPF (currently $9.25)
Yes
The next withdrawal period is June 1, 2027, to June 30, 2027. I understand that terminating my membership will cancel all dues and CAL FIRE Local 2881-sponsored benefits deductions from my salary.
Signature

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