AFSCME PEOPLE Contribution Form

AFSCME PEOPLE stands for Public Employees Organized to Promote Legislative Equality. It is AFSCME’s federal-level Political Action Committee, funded entirely by AFSCME members’ and retirees’ voluntary contributions. This form is to authorize a voluntary pension deduction to AFSCME PEOPLE.

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Contribution Deduction per Month
Clear Signature
I hereby authorize the Washington Department of Retirement Systems to deduct, each month the amount certified in the box provided as a voluntary contribution to be paid to the treasurer of American Federation of State, County, and Municipal Employees PEOPLE, AFSCME, AFL-CIO, P.O. Box 65334, Washington D.C. 20035-5334, to be used for the purpose of making political contributions and expenditures. My contribution is voluntary, and I understand that it is not required as a condition of membership in any organization, or as a condition of continued employment, and is free of reprisal. I understand that any contribution guideline is only a suggestion and I am free to contribute more or less than that amount and will not be favored or disadvantaged due to the amount of my contribution or refusal to contribute. In accordance with federal law, AFSCME PEOPLE will accept contributions only from members of AFSCME and their families. Contributions or gifts to AFSCME PEOPLE are not deductible as charitable contributions for federal tax purposes. Contributions from other persons will be returned. Federal law requires us to use our best efforts to obtain and report the name, address, occupation, and employer of each individual whose contributions exceed $200 in a calendar year. This authorization is effective until revoked in writing, which you may do at any time by emailing I hold DRS harmless for any conflicts that occur between the vendor and myself. I understand that DRS cannot answer questions about this vendor.