• Application for Incentive Rebate

  • I. WE HEREBY CERTIFY THAT WE HAVE MET THE REQUIRED PAYMENT SCHEDULE OUTLINED IN SECTION II OF THE INCENTIVE REBATE POLICY AND HAVE PAID TO OEA AT LEAST 50% OF OUR TOTAL ANNUAL OBLIGATION BY MARCH 15. WE ALSO UNDERSTAND WE MUST CONTINUE TO PAY ACCORDING TO OUR STATEMENT IN ORDER TO QUALIFY FOR OUR SECOND INSTALLMENT.

  • Attestation to the above statement: Please enter your name.

  •   SAME LEVEL OF MEMBERSHIP AS LAST YEAR INCREASE IN MEMBERSHIP 100% ENROLLMENT
    CHECK ONLY ONE
  • II. WE ARE APPLYING FOR A REBATE IN THE FOLLOWING CATEGORIES (PLEASE CHECK THOSE THAT ARE APPLICABLE).

  •   Select all that apply
    D. 100% OF ANNUAL DUES OBLIGATION HAS BEEN PAID BY JAN. 1
    E. LOCAL DUES OF $25 OR MORE
    F. FULL-TIME RELEASE OFFICER
    G. 1/2-TIME RELEASE OFFICER
    H. FULL-TIME SECRETARIAL/CLERICAL HELP
    I. 1/2-TIME SECRETARIAL/CLERICAL HELP
  • CATEGORIES - If you selected a category above you MUST complete the corresponding section below.

  • J. LOCAL OFFICE, AVAILABLE TO OTHER LOCALS FOR ASSOCIATION MEETINGS

  • III. CERTIFIED BY:

    AFFILIATE INFORMATION:

  •  -
  •  -
  •  -  - Pick a Date
  • ***APPLICATION DEADLINE MARCH 20TH***

  • Should be Empty: