Membership dues inquiries form

Only the fields below marked with an asterisk (*) are required. The more information you are able to provide, the easier it will be to confirm your identity and to release the information you’re looking for.

First Name *

(as it appears on your pay stub)

Middle Name

(as it appears on your pay stub)

Last Name *

(as it appears on your pay stub)

Email (personal - not work email) *

Cell Phone *

Home Phone

Home Postal Code *

Home Address

PSAC ID #

Current Employer / Department *

Job classification

Date of hire

Jour

Mois

Année

Work Address *

PSAC component

PSAC local

Nature of your request:

I am inquiring about the amount / status of my membership dues (i.e. how much do I owe or how much will I be reimbursed?).

I am experiencing financial hardship and require accommodation for the repayment of my membership dues.

Other

Alliance de la Fonction publique du Canada

Membership dues inquiries form

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