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FORM 1187
Request and Authorization for Voluntary Allotment of Compensation for Payment of Employee Organization Dues.
* Denotes Mandatory Fields
SECTION A – All New Members Complete
Your title determines whether you also complete Sections B or C.
USPS Employee Identification Number:
*
Social Security Number:
*
Date of Birth:
*
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Phone:
Home
Cell
Gender:
Male
Female
None Selected
Employee Name:
Prefix:
First
*
:
Middle:
Last
*
:
Suffix:
Your Nick Name:
Home Address:
*
City:
*
State:
*
-Select-
Alabama
Alaska
American Samoa
APO/FPO (CONUS)
APO/FPO (EUR)
APO/FPO (PAC)
Arizona
Arkansas
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Delaware
District of Columbia
Florida
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Guam
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Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
*
Personal E-Mail Address:
Please Check One
Postmaster
Supervisor
Manager/Other EAS
Associate (clerk, carrier, etc.)
PMR
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