Join RPEC | Retired Public Employees Council of WA

Name

First

Last

Address

Address Line 1

City

State

Zip Code

Mailing Address (If different)

Address Line 1

City

State

Zip Code

Email

Home Phone

Cell Phone

By providing your cell phone number you consent to receive calls (including recorded or autodialed calls, or texts) at that number from RPEC. Your carrier’s rates may apply.

Retirement Plan

Retirement Date

Recruited By

Agency Retired From

Birth Date

Select Membership Option

Retiree or Surviving Spouse ($7/mo)
Retiree & Spouse/Partner ($14/mo)

Spouse/Partner Name (If Selecting Retiree & Spouse/Partner Option)

First

Last

Sign Here to Authorize Automatic Deduction via DRS Pension

Clear Signature

I authorize the Department of Retirement Systems (DRS) to regularly deduct a sufficient amount from my retirement allowance to pay the amount required for my union/organization dues at my request, under this program. Deductions will continue until the deduction plan is canceled through the union/organization office. I understand that DRS cannot answer questions about my union or organization. RPEC is 501c5 organization. Dues are not tax deductible.

Authorization

I have read the above statement and agree to its terms.