UPMA

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:*
Date of Birth:*
RadDatePicker
RadDatePicker
Open the calendar popup.
Phone:

Gender:

Prefix:
First Name*:
Middle:
Last Name *:
Suffix:
Other preferred name (if applicable):
Home Address:*

City:*
State:*
Zip:*
Personal E-Mail Address:*
 
 
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