Skip to main content
Authorization for Withholding of Voluntary Contributions to the Political Action Fund of the Pittsburgh Federation of Teachers
Back to Dashboard
We're sorry but our site requires JavaScript enabled in your browser.
personal-information-1
First Name
*
Middle Name
Last Name
*
billing-address
Mailing Country
*
United States of America
Mailing Address
*
Mailing Suite
Mailing City
*
Mailing State
*
- Select -
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
US Virgin Island
Washington
West Virginia
Wisconsin
Wyoming
Mailing Zip Code
*
personal-information-2
Home Phone
Mobile Phone
Preferred Phones
preferred
preferred
Personal E-mail
*
custom-field-1
social security or board identification number
*
membership-payment
membership-wrapper
Dues Amount
$0.00
Total
draft
PAC Amount
By donating to PAC, we’re able to fight for your pension, good legislation, and elected officials who support you and your professions. Donating to PAC is the most effective way for your voice to be heard.
COPE Amount Values
$0
$2.50
$5
$10
other
Other Amount
privacy-policy
custom-legal-wrapper
Authorize 1
Authorization for Withholding of Voluntary Contributions to the Political Action Fund of the Pittsburgh Federation of Teachers
I, hereby authorize the Pittsburgh Public Schools to withhold from my earnings a voluntary, per pay period contribution to the Political Action Fund of the Pittsburgh Federation of Teachers. This deduction shall continue at the same amount from school year to school year unless I increase, decrease, or revoke this authorization. - - - This authorization is signed freely and voluntarily and not out of any fear of reprisal, and I will not be favored nor disadvantaged because I exercise this right. I understand that the PFT Political Action Committee is engaged in joint fundraising efforts with the AFT, the AFT PA, and the PA AFL-CIO and will use the money contributed to make political contributions in connection with federal, state, and local elections. Contribution or gifts to PFT-PAC are not deductible as charitable contributions for federal income tax purposes. Contributions cannot be reimbursed or otherwise paid by any other person or entity.
Print your name
Date
Date
E.g., 2024-12-21
Signature field is required
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Math question
*
4 + 8 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Leave this field blank