Docstoc

Sample Budget

Document Sample
Sample Budget Powered By Docstoc
					Treasurer’s



                                  Handbook
                                          AFL-CIO

        California School Employees Association
           Our mission: To improve the lives of our
               members, students and community.
                                   Publication 109
                                 Revised October 2006
Chapter treasurer proCedures Manual
MODULE	109

T A b L E 	 O F 	 C O N T E N T S


INTRODUCTION	                                                                    page iii

CHAPTER	FISCAL	CONTROLS	AND	PROCEDURES	                                     SECTION	1	
   Financial Records
   Fiscal Controls
   Maintenance of Proper Chapter Records
   Chapter Treasurer Report
   Disbursement Voucher Record
   Chapter Checking and Savings Accounts
   Checkbook Reconciliation
   Bank Reconciliation
   Budget Preparation
   Group Tax Exemptions and Employer Identification for CSEA Chapters
   Audit of Chapter Records
   Guideline for Completion and Distribution of the PERB
   Completing the PERB 160 Report Form

MEMbERSHIP	CATEgORIES	                                                      SECTION	2
   Membership—Active, Inactive, Exempt, Retired
   Definition of Membership in Good Standing
   Dual Chapter Membership
   Victory Club
   Retired Member Program
   Exempt Membership Program
   Membership Application
   Membership Cards

MEMbERSHIP/bILLINg	INFORMATION	                                             SECTION	3
   Refund for Overpayment of CSEA Association Dues
   Dues Deductions for Members/Fair Share Service Fee Payers on Worker’s Compensation
   Options for Members Who Are Laid Off
   Explanation of Drop/Status Form
   Drop/Status Form
   Member Status Change Form




October 2006                                                                                
     MEMbERSHIP/bILLINg	INFORMATION	                                             SECTION	3	
     (continued)
       Mail from Association Headquarters
       CSEA Merchandise—Promotional Items, Stationery, and Association Jewelry
       CSEA Supplies At No Charge Order Form

     CSEA	DIRECT	DUES	PAYMENT	PROgRAM	                                           SECTION	4
       Procedures
       Final Reconciliation
       Direct Pay Delinquency List
       Automatic Deposit of CSEA Chapter Checks (GIB 02-04)

     FAIR	SHARE	SERVICE	FEE	PAYERS	                                              SECTION	5
       Introduction
       Laws that Permit Unions to Collect Fees from Non-Members
       Enforcement of Fee Collection
       Automatic Deduction of Member Dues or Non-Member Fair Share Service Fees
       Fair Share Service Fee Payer Information Form
       Member vs. Fair Share Service Fee Payer Status
       Transfers from Fair Share Service Fee Payer to Membership Status
       Transfers from Membership to Fair Share Service Fee Payer
       Non-Member Fair Share Service Fees Equal Member Dues
       Chapter Fair Share Service Fees
       Advance Rebate Program
       Chapter Rebates
       Hudson Notices
       Who to Ask If You Have Questions About Fee Payers




                                                                                   October 2006
IntroduCtIon
TREASURER’S	DUTIES	AND	RESOURCES
     The chapter treasurer is now an important position both to your chap-
ter and to the Association. In most chapters you are also important to your
employer.
    The Treasurer:
    ➤	 acts as a focal point for membership and fair share service fee payer
       information and membership processing for the chapter and the school
       district;
    ➤	 reviews, completes and distributes CSEA membership applications;
    ➤	 plays an important role in enforcing fair share service fee provisions;
    ➤	 determines members in good standing for elections;
    ➤	 prepares the chapter’s annual budget in cooperation with the chapter
       executive board and/or the chapter budget committee;
    ➤	 sits on the chapter’s executive board;
    ➤	 collects all monies due to the chapter;
    ➤	 pays all bills and orders any supplies for the chapter;
    ➤	 maintains the chapters financial books;
    ➤	 makes monthly financial statements to the chapter; and
    ➤	 makes annual financial reports to PERB and chapter members.
    Most important to your role is a good understanding of your chapter’s
constitution and standing rules as well as those of the Association (California
School Employees Association Constitution and Bylaws). You should under-
stand both of these and review your chapter’s copy of the CSEA Policy
Handbook paying particular attention to Policy Section 600, Chapters.
    The chapter constitution will identify members, fair share service fee
payers, and the dues structure and assessments. Your chapter constitution
should also prescribe the treasurer’s duties.
    Typical duTies include:
    ➤	 Collects records and deposits all funds received by the chapter.
    ➤	 Pays, records and confirms all chapter bills.
    ➤	 Sits on the chapter’s executive board.
    ➤	 Financial advisor to the chapter and chapter executive board.
    ➤	 Prepares the chapter’s budget in cooperation with the executive board
       and based upon their plans.
    ➤	 Balances and maintains all chapter accounts.


October 2006                                                                      
     ➤	 Verifies information on membership and fair share service fee payers
        for the chapter, employer, and bargaining unit employees.
     ➤	 Prepares monthly financial statement to the chapter.
     ➤	 Prepares annual financial report to PERB and chapter members and
        fair share service fee payers.
     ➤	 Completes and verifies all information on membership applications.
        Distributes copies of application to District Payroll to initiate pay-
        roll deduction of CSEA dues, and to CSEA Headquarters to ensure
        CSEA membership.
     ➤	 Monitors payroll deductions each month to verify correct payment,
        chapter membership and identify fair share service fee payers.
     ➤	 Maintains an accurate record of and determines members in good
        standing for elections.
     ➤	 Maintains inventory of membership applications and other related
        items, orders chapter’s supplies.


     Before you leave office
     Treasurers need to comply with the following before leaving office:
     	      B
         ➤			 ack up Quicken and provide a copy of the Quicken to the
            Chapter President, along with all other records.
     	      A
         ➤			 ssist the new treasurer to learn the duties associated with the
            office.




v                                                                 October 2006
                                             SECTION 1



Chapter Fiscal Controls and Procedures
                                          Financial RecoRds
                                            Fiscal contRols
                    Maintenance oF PRoPeR chaPteR RecoRds
                                  chaPteR tReasuReR RePoRt
                    chaPteR checking and savings accounts
                                  checkbook Reconciliation
                                        bank Reconciliation
                                        budget PRePaRation
           gRouP tax exeMPtions and eMPloyeR identiFication
                                        FoR csea chaPteRs

                                  audit oF chaPteR RecoRds
            guideline FoR coMPletion and distRibution oF the
                          PeRb Financial disclosuRe RePoRt
                      coMPleting the PeRb 160 RePoRt FoRM
Fiscal contRols and PRoceduRes
FINANCIAL RECORDS
     The fiscal year for each chapter is January 1 – December 31 CSEA Con­sti­
tution­ & Bylaws. See (Constitution) Article III, Section 3.
     Each chapter should adopt into its constitution, sufficient internal guide-
lines and fiscal procedures to insure the fiscal integrity of the chapter, protect
the Association and chapter funds, and provide the chapter officers, the audit
committee, or an auditor with enough information to form valid opinions
concerning the status of the chapter’s financial affairs. As the chapter’s chief
financial officer and advisor, you should make suggestions to your executive
board of procedures to protect the funds.


FISCAL CONTROLS
    ➤ All chapter checking/savings accounts should be set up as a busi-
      ness account, as a non-profit business and must be in the name of the
      chapter.
    ➤ Bank signature cards should have four (4) current executive board
      names on file, and require two (2) signatures on each check.
    ➤ Checks must be signed by two officers of the current executive board
      whose authorized signatures are on file at the bank.
    ➤ The list of people authorized to sign checks should be verified each
      year by more than one person or the audit committee.
    ➤ An authorized check signer should not sign a check made payable to
      him/her self.
    ➤ No check should be made payable to CASH.
    ➤ All checks should be completed and verified before signing. Advance
      signing of blank checks is prohibited.
    ➤ All monies must be deposited immediately in the chapter’s bank
      account.
    ➤ Chapter money should not be intermingled with personal funds.
    ➤ Cash receipts such as currency or coin must be counted and verified
      by at least two (2) people.
    ➤ Receipts are required for all purchases. Amount of check must match
      receipts. Please use Disbursement Voucher Record (See page 1–7).
    ➤ Audit chapter books each year and whenever there is a change in the
      treasurer position.
    ➤ Chapter records should be locked up and kept in a safe place at all
      times.




October 2006                                                                         1–1
           Each chapter has a legal and moral obligation to protect all funds in its
      possession and to prevent the misappropriation of these funds for person­al use.
           The chapter is not a bank for its members. Chapter funds are for the busi-
      ness use of the chapter and no loans should be made. Every CSEA member is
      eligible for membership in the Provident Central Credit Union, First Financial
      Federal Credit Union, where loans, savings and checking accounts (share
      draft accounts) are available.


      MAINTENANCE OF PROPER CHAPTER RECORDS
           The chapter treasurer as part of the executive board, has the responsibility
      of preparing and maintaining accurate chapter financial records. These records
      should always be current and available to the executive board and member-
      ship.
           CSEA provides the necessary materials to assist chapters in maintaining
      these records.
          ➤ Cash Receipts Record (See page 1–34)
          ➤ Statement of Expenses (See page 1–31)
          ➤ Chapter Treasurer Report Form (See page 1–5)
          ➤ Disbursement Voucher Record (See page 1–7)
          ➤ Annual PERB Report Forms (See pages 1–29, 1–30)
            The CASH RECEIPTS RECORD is to be used to record EACH individ-
      ual cash receipt whether it is cash, coin, personal check or money order. Each
      cash receipt form should show the following minimum information: date,
      from whom received, the amount received, and an explanation of the source
      and/or reason for the receipt of funds. Receipts must be attached. All chap-
      ter treasurers should have a supply of sales/cash receipt forms (in duplicate)
      which are readily available at any office supply store.
            The STaTemenT oF exPenSeS is to be used to record each pay-
      ment made by the chapter. Each cash disbursement (check) should show the
      following minimum information: date, to whom paid, the check number, the
      amount of the check, and an explanation of the purpose of the check. Receipts
      must be attached.
            All payments by the chapter must be made by check. all cash
      received by the chapter, whether it is cash, coin, checks or money order are
      to be deposited immediately into the chapter’s bank account. Such records
      leave an easy audit trail and guard against treasurer error. Money should not
      be kept at home or deposited with personal funds.


      CHAPTER TREASURER REPORT
      (Financial Statement)
           The treasurer is to prepare a financial statement for each chapter meeting.
      The statement is to show chapter funds as of the previous financial report,
      the income for the current report period (indicating all receipts), the disburse-
      ments for the current report period (indicating all disbursements), the net gain
      or loss and the chapter funds as of the date of the report. (See page 1–5)

1–2                                                                     October 2006
Retention of Chapter Financial Records
     It is a legal obligation for each chapter under the Educational Employ-
ment Relations Act (EERA) to keep accurate financial records and reports,
and to report regularly the financial condition of the chapter to PERB and to
its members. The following source documents and reports must be retained
for a period of not less than five (5) years.
    ➤ Credit union and bank statements.
    ➤ Duplicate deposit slips.
    ➤ Checkbooks and checkbook records, check stubs.
    ➤ Cash receipts records.
    ➤ Statements of expenses.
    ➤ Canceled checks.
    ➤ Monthly treasurer’s reports.
    ➤ PERB Report (Form 160).
    ➤ Quicken back-up file in digital format.
    ➤ Financial report to members/fee payers.
    ➤ All receipts and invoices.
    ➤ Any other supporting documents of a financial nature.
      When in doubt, save it!




October 2006                                                                    1–3
1–4   October 2006
                                  California School Employees Association
                                    CHAPTER TREASURER REPORT
                                                                        Date ___________________________

Chapter name and number ______________________________________________________________________
No. of members                        _____________
No. of Fair Share Service Fee Payers _____________
No. of Victory Club members            _____________

BEGINNING BALANCE                                                                            $____________


INCOME:
Category       From whom                   Purpose of income
________       ________________________ ________________        $____________
________       ________________________ ________________        $____________
________       ________________________ ________________        $____________
________       ________________________ ________________        $____________
________       ________________________ ________________        $____________
TOTAL INCOME FOR THE MONTH:                                                      $____________


DISBURSEMENTS:
Category       Check#   To whom            Purpose of payment
________       _______ ________________ _________________ $____________
________       _______ ________________ _________________ $____________
________       _______ ________________ _________________ $____________
________       _______ ________________ _________________ $____________
________       _______ ________________ _________________ $____________
________       _______ ________________ _________________ $____________
________       _______ ________________ _________________ $____________


TOTAL DISBURSEMENTS FOR THE MONTH:                                              <$___________>

NET INCOME OR <LOSS>                                                                         $____________

ENDING BALANCE                                                                               $____________


STATEMENT OF ACCOUNTS

________________________            ________________________                                 $____________
NAME OF BANK                        TYPE OF ACCOUNT                                          ADJUSTED BALANCE


________________________            ________________________                                 $____________
NAME OF BANK                        TYPE OF ACCOUNT                                          ADJUSTED BALANCE


________________________            ________________________                                 $____________
NAME OF BANK                        TYPE OF ACCOUNT                                          ADJUSTED BALANCE


                                                                       ACCOUNT TOTAL         $____________

                                                                                                      1073-02



October 2006                                                                                             1–5
1–6   October 2006
                               California School Employees Association
                               DISBURSEMENT VOUCHER RECORD

                            CSEA Chapter #___________ Chapter Funds


                                                                            _____________________
Year _____________ Date of disbursement ____________________________ Amount $

Check number __________ Issued to: _____________________________________________________________

                                      _____________________________________________________________


Reason for disbursement:              _____________________________________________________________


                                      _____________________________________________________________


Budget line item:                     _______ Yes   _______ No


Expense approved by executive board
or membership:                        _______ Yes   _______ No   If Yes, date of board minutes ______________

Receipts attached:                    _______ Yes   _______ No


Date entered in Quicken ___________________ Date shown on Quicken Treasurer Report ___________________




                                                                                                      1075-04



   October 2006                                                                                          1–7
1–   October 2006
CHAPTER CHECKING AND SAVINGS ACCOUNTS
     All chapters should have a checking/savings account set up as a non-
profit business account in the chapter’s name not in the name of an individual.
Please identify chapter account name as CSEA _______________________,
                                                      (chapter name and number)
this will avoid duplicate names. All canceled checks (if using a bank) and
all duplicate share draft records (if using the credit union) and the bank and
credit union statements must be retained for audit purposes.
     Separate savings accounts in the chapter’s name should be set up for any
funds (such as scholarship funds, etc.) for which a designated amount of each
member’s dues is to be allocated, or which are funded solely by voluntary
means (fund raisers) for a specific purpose.
     The signature cards on file for both checking and savings accounts should
have four current executive board names authorized to sign checks, with two
(2) signatures required on each check. The Chapter Treasurer should be one
of the signatures on all checks issued, except in cases of emergency.
     Each check issued by the chapter should be recorded in the checkbook
ledger, statement of expenses, check stub and Quicken. The check itself
should show the date, amount, payee and the purpose of the check. The
checkbook ledger should also show check printing costs, checks returned for
overdrafts, service charges, deposits and the carrying balance (information
found on the bank statement).

How to prevent unnecessary bank charges when
issuing a check:
    ➤ Make sure there is sufficient money in the account to cover check.
    ➤ Two (2) signatures must be on the check.
    ➤ Written amount and numeric amount must agree.
    ➤ When closing an account make sure all checks issued in that account
      have cleared before you close the account.
    ➤ When there is a change in officers, update the signature cards on file
      at the bank.

CHECKBOOK RECONCILIATION
     Your checkbook must reflect all deposits, withdrawals, bank charges,
interest income, and returned checks, etc.
     The reconciled bank statement balance and the reconciled checkbook
balance must agree. If they do not agree, there is a mathematical error which
must be found.
    Balance shown on last stub through 12/31/—             $711.00
    Subtract bank items not shown on check stubs
       Bank service charge              $ 2.00
       Printed checks                   $ 3.25
       Returned check (John Jones)      $10.00
                                       <$15.25>           <$15.25>
    Adjusted checkbook balance                             $695.75


October 2006                                                                      1–9
       BANK RECONCILIATION
            The chapter’s bank statements see Form 1074 (See page 1–11) must
       be reconciled and balanced each month. For safety precautions the person
       who writes the checks should not reconcile the bank statement. The bank
       statement should be reconciled by someone other than the chapter treasurer.
       The treasurer should review reconciled statements for accuracy.
           ✔ Check off all checks returned from the bank on the bank statement.
           ✔ Sort checks numerically.
           ✔ Check off checks returned against numbered check stubs/ledger.
       Codes relating to sample below:
           1. The bank statement will show the balance as of the end of
              the month.
           2. All deposits made during that period which are not shown on
              the bank statement shall be added to the balance.
           3. All checks written during that period which have not cleared
              the bank shall be subtracted from this balance.
           4. The result is the adjusted ban­k balan­ce.




       1. Balance per bank statement               $99.75
       2. Add deposits in transit (deposits not shown on bank statement)
                Deposit 12/29/—          $106.00
                                         $106.00              $106.00
       3. Deduct outstanding checks
          (checks written not shown as cashed by bank)
                Check No.        Check Amount
                  296              $400.00
                                    $400.00                  <$400.00>
       4. Adjusted Bank Balance                               $695.75
       5. This adjusted bank balance shall equal the adjusted checkbook balance.




1–10                                                                     October 2006
                                CALIFORNIA SCHOOL EMPLOYEES ASSOCIATION
                                      CHAPTER BANK RECONCILIATION


Chapter Name & No. ____________________________________________________________________________

Account Name _____________________________________________ Account No. ______________________

Bank Reconciliation for the Month of ____________________________ 20_______


         OUTSTANDING CHECKS

    CHECK #                      AMOUNT

______________              $_____________

______________              $_____________

______________              $_____________

______________              $_____________
                                                                    ENDING BANK
______________              $_____________
                                                                    STATEMENT BALANCE         $_____________
______________              $_____________
                                                                    ADD DEPOSITS IN TRANSIT   $_____________
______________              $_____________

______________              $_____________

______________              $_____________

______________              $_____________

______________              $_____________
                                                                    DEDUCT OUTSTANDING
      TOTAL                 $_____________                          CHECKS TOTAL              $_____________
                                                                    TOTAL ADJUSTED
                                                                    BANK BALANCE              $_____________*




                                                                    TOTAL CHECKBOOK
                                                                    BALANCE                   $_____________*




* The adjusted bank balance and the checkbook balance must agree.

                                                                                                      1074-01



    October 2006                                                                                        1–11
1–12   October 2006
BUDGET PREPARATION
     Budget preparation is a major part of the financial planning for a chapter.
The budget is a plan of the estimated income and expenditures for the fiscal
year.
     Ideally, the budget should be balanced or show a surplus. At the end of
the chapter’s fiscal year, the treasurer should prepare an income/expenditure
statement to compare with the original budgeted amounts. This will give the
chapter a clear view of how close the estimates were and assist in the prepara-
tion of the budget for the next fiscal year.
     In order to assist the treasurer and the executive board, the chapter may
wish to appoint a Ways and Means or a Budget Committee. The committee
could assist by investigating long range plans of the board for both expendi-
tures/income. It could investigate ways for the chapter to invest surplus monies,
investigate how potential changes could impact on the chapter’s budget and
financial status.
     It is recommended that you begin planning for a budget at your execu-
tive board meeting in the fall. At the planning meeting, you and the board will
determine income, expenditures, and develop a budget based on goals, objec-
tives, long range plans and priorities of your chapter. The budget should be
approved at your January chapter meeting.
    Tips
    ➤ Prior to planning the budget, it’s helpful to review the income and
       expenditures statement from the previous year’s budget.
    ➤ Be sure to allow for unforeseen expenditures. A “miscellaneous”
      line item in the budget is a good way to handle this.
    ➤ Be prepared to advise your fellow executive board members. If a
      proposed expenditure is not in the current budget remind your
      executive board members that a vote to approve the expenditure
      is required. Any expenditure greater than $100 requires a vote of
      approval.
    ➤ If you believe an expenditure is going to “bust the budget,” you need
      to let your fellow executive board members know.
    Goals
    ➤ Monitor the budget and advise the executive board and/or chapter
      of needed changes.
    ➤ No expenditures should be authorized unless budgeted or approved
      by a vote of the chapter membership.




October 2006                                                                        1–13
                             Sample Chapter Budget
                      California School Employees Association
                           Projected 2006 Chapter Budget
                 Anyplace Unified School District Small Chapter #000



       REVENUES:

       Dues
          Estimated 250 members @ $1.50/Month x       $3,750.00
       10 Months
       Bank Interest & Dividends                          50.00
       Other Receipts
             Fundraiser                                  150.00
             Donation Tickets-Chapter Portion            500.00

       TOTAL RECEIPTS                                             $4,450.00

       EXPENSES:

       Payments to Affiliates
       Office and Administrative Expenses             $1,000.00
       Membership Functions                              500.00
       Other Disbursements
          Conference (2 delegates)
              Lodging $400.00
              Per Diem $400.00
              Travel $250.00                           1,050.00
              Donation Tickets-Association Portion       250.00
          Sunshine Club                                  400.00
          Workshops                                      100.00

       TOTAL EXPENSES                                              3,300.00

       EXCESS/(SHORTAGE) OF REVENUE
       OVER EXPENDITURES                                          $1,150.00




1–14                                                                          October 2006
                              Sample Chapter Budget
                        California School Employees Association
                             Projected 2006 Chapter Budget
                  Anyplace Unified School District Medium Chapter #000


         REVENUES:
         Dues
            Estimated 400 members @ $1.50/Month x 10 Months   $6,000.00
         Bank Interest & Dividends
            $1,500 @ 7% interest                                105.00
         Other Receipts
            Conference Donation Tickets 500 @ $1.00             500.00
            Fundraiser                                          750.00
         TOTAL RECEIPTS
         EXPENSES:                                                        $7,355.00
         Payments to Affiliates
         Office and Administrative Expenses
               Telephone $225.00
               Office Supplies $500.00
               Chapter Newsletter $1,600.00
         Membership Functions
               Holiday party
         Other Disbursements
                                                               2,325.00
               Scholarships $500.00
               Reserves $1,000.00
            Conference (4 delegates)                            500.00
                Lodging $800.00
                Per Diem $800.00                                 500.00
                Travel $500.00                                 1,000.00
         Donation Tickets- Association Portion
            Workshops
               Workshops
                   Meals $27.00                                2,100.00
                   Travel $20.00                                 250.00
                Research/Negotiations
                   Meals $27.00
                   Travel $20.00
         TOTAL EXPENSES
         EXCESS/(SHORTAGE) OF REVENUE
         OVER EXPENDITURES

                                                                 94.00

                                                                           6,769.00


                                                                           $586.00




October 2006                                                                          1–15
                             Sample Chapter Budget
                        California School Employees Association
                             Projected 2006 Chapter Budget
                   Anyplace Unified School District Large Chapter #000

       REVENUES:
       Dues
          Estimated 750 members @ $1.50/Month x 10 Months   $11,250.00
       Bank Interest & Dividends
          $10,000 @ 7% interest                                700.00
       Other Receipts
          Conference Donation Tickets 1,500 @ $1.00
                                                              1,500.00
          Fundraiser
             Holiday Party $25,000.00
             Candy Sales $2,000.00
             Bus Turn Around $2,000.00
       TOTAL RECEIPTS                                        29,000.00
       EXPENSES:
       Payments to Affiliates                                            $42,450.00
       Office and Administrative Expenses
             Telephone $400.00
             Office Supplies $700.00
             Chapter Newsletter $8,000.00
       Membership Functions
             Holiday party $22,500.00
             Bus Turnaround $1,250.00
       Other Disbursements
                                                              9,100.00
             Scholarships $1,000.00
             Reserves $1,000.00
          Conference (8 delegates)
              Lodging $1,600.00                              23,750.00
              Per Diem$1,600.00
              Travel $1,000.00                                1,000.00
          Donation Tickets- Association Portion               1,000.00
          Workshops
             Workshops
                 Meals $75.00
                 Travel $125.00                               4,200.00
              Research/Negotiations
                                                                750.00
                 Meals $150.00
                 Travel $200.00
       TOTAL EXPENSES
       EXCESS/(SHORTAGE) OF REVENUE
       OVER EXPENDITURES


                                                               550.00

                                                                          40,350.00


                                                                          $2,100.00



1–16                                                                              October 2006
GROUP TAX EXEMPTIONS AND EMPLOYER
IDENTIFICATION FOR CSEA CHAPTERS —
REPORTING REqUIREMENTS

Group Tax Exemptions
     All Association chapters are now covered under the Association’s group
tax exemption issued by the Internal Revenue Service (IRS) and by the Cali-
fornia Franchise Tax Board (FTB). There is no need for any chapter to apply
for a separate tax exempt status. CSEA’s Federal Group Exemption Num-
ber is 4057. CSEA’s State Group Exemption Number is 356059.

IRS and State Tax Forms 990 and 199
     Even though all chapters qualify as tax-exempt organizations, some chap-
ters MAY be required to file annual income tax reports with the IRS and
the State FTB.
    ➤ Chapters with LESS THAN $25,000 in annual gross receipts* are
      not required to file Federal or State returns.
        *Included in the definition of gross receipts are the chapter’s por-
        tion of dues/fair share service fees, interest or dividends on chap-
        ter savings or investment accounts, gross proceeds from the sale of
        assets, gross revenue from chapter fundraising events, contributions,
        gifts, or other chapter income. “Gross receipts” for purposes of these
        filing requirements does NOT include Association per capita dues/
        fair share service fees or other funds collected on behalf of the Asso-
        ciation, such as Victory Club payments – if these are immediately
        transferred to the Association when due.
    ➤ Chapters which DO collect gross receipts (as defined above)
      TOTALING $25,000 OR MORE in any year ARE REQUIRED
      to annually file an IRS Form 990 and a California FTB Form 199
      by the 15th day of the fifth month following the end of the chapter’s
      fiscal year – that is, by May 15th.
     In filing these forms, chapters must use their EID and CSEA’s Group
Exemption number (4057 and 356059) and the Employer Identification
number (EID) assigned to them. Each chapter’s specifically assigned EID is
printed on the monthly CSEA direct pay delinquency list sent to the chapter
treasurer from headquarters, immediately above the Treasurer’s name. (See
page 4–)
     Any chapter in this category, which fails to file the necessary returns,
may lose its coverage under CSEA’s group exemption, and may be subject
to financial penalties.
     Chapters filing IRS Form 990 and CA FTB Form 199 must submit copies
of their annual returns to the Association’s Chief Financial Officer (at Asso-
ciation Headquarters) at the same time they are filed with the Federal or State
agency.




October 2006                                                                      1–17
       Employer Federal Tax Identification Number
            Every new chapter must send in a written request to the Association’s
       Chief Financial Officer (at Association headquarters), signed by an officer of
       the chapter, asking to be included in the annual group exemption filing. CSEA
       will apply for Employer Identification Number and include that chapter in both
       the Federal and State group exemption filings by chapter. This filing establishes
       the not-for-profit status of the chapter and requires no further contact with the
       IRS/FTB unless and until the chapter revenues exceed $25,000 per year. The
       Accounting Department will send the Employer Federal Tax Identification
       Number to treasurers of newly formed chapters.


       AUDIT OF CHAPTER RECORDS
            Each chapter is responsible for an audit of the books and records of its
       treasurer at least once each year at the end of its fiscal year (December 31).
       If there is a change in the position of treasurer, an audit must be performed
       immediately regardless of any previous audit.
            An audit is an examination of financial statements and records to confirm
       the accuracy and integrity of the chapter’s records and accounts. It can be
       conducted by:
           ➤ the chapter’s audit committee
           ➤ the Association’s Member Audit Bureau
           ➤ the Executive Director or his/her designee
           ➤ an independent auditor
           Policy 627 describes the requirements for audits by the Member Audit
       Bureau.
           The treasurer’s responsibilties in the process of the audit are as follows:
           ➤ The treasurer gathers all financial records and turns the records over
             to the auditing committee or an independent auditor.
           ➤ The treasurer should be available to answer questions or concerns
             of the committee or auditor, but is not a member of the committee.
           ➤ The committee or the auditor will report its findings to the executive
             board.
           ➤ A final audit report (See page 1–21) needs to be an agenda item and
             presented at the next chapter meeting for membership adoption.
           ➤ The treasurer must keep a copy of the audit report for 5 years.
             If you need any assistance, please contact our Financial Analyst/
             Auditor at CSEA Headquarters at 1 (00) 632-212, x1296.




1–1                                                                     October 2006
                           Date: ________________________

                                                                        M PLE
                                                                 SA
      AFL-CIO


California                 California School Employees Association
School                     Attention: Jerome R. Liebling, Chief Financial Officer
Employees                  2045 Lundy Avenue
                           San Jose, CA 95131
Association
2045 Lundy Avenue          Re: Authorization for Filing CSEA Chapter _______ in CSEA’s Group
San Jose, CA 95131         Exemption
(408) 473-1000
(800) 632-2128
                           Dear Mr. Liebling:
Executive
FAX (408) 321-8227
                           This letter provides the authorization for the California School Employees
First Floor
FAX (408) 954-0948         Association, a 501(c)(5) organization, to file on behalf of CSEA Chapter _____
www.csea.com
                           __ for inclusion in the CSEA group exemption as required under IRS Revenue
                           Procedure 0–27.
Rob Feckner
Association President      It is my understanding that the chapter is to retain a copy of the letter and that
Bud Dougherty              the group exemption will remain in effect until revoked or the chapter is dis-
Executive Director         solved for any reason.

Member of the AFL-CIO      It is also my understanding that if the chapter has gross income over $25,000
                           per fiscal year, the chapter is responsible to file a completed federal form 990
The nation’s largest
independent classified      and a state form 199.
employee association
                           Hereby authorized and signed by:
Member of the National
Association of Classified
School Employees
(NACSE), representing      ______________________________________
independent public
employees throughout
the nation                 Position: ______________________________

                           Date: _________________________________



                           Please return original to CSEA and make a copy for your files.




October 2006                                                                                              1–19
1–20   October 2006
                                 FINAL AUDIT REPORT

                                  CSEA CHAPTER # ______
                                   Audit Committee Report

                                                                      Date __________________

   Balance on hand as of ____________                              $ _________.____

          Total deposits                                           $ _________.____

          Total disbursements                                     <$ ________._____>

   Balance on hand as of _____________                             $ _________.____*

        * Agrees with checkbook and bank statement balance.


   We, the audit committee, have audited the records of the treasurer of Chapter ______ and found
   them to be accurate and balanced as of ___________________. We have received the chapter’s
   receipts and disbursements and feel them to be both accurate and appropriate.

                                    Submitted by:
                                    ____________________________
                                    ____________________________
                                    ____________________________
                                    ____________________________


Attachment:
  Statement of Operations and Balance Sheet (PERB)




October 2006                                                                                 1–21
       GUIDELINE FOR COMPLETION AND DISTRIBUTION
       OF THE PERB FINANCIAL DISCLOSURE REPORT
            Government Code Section 3546.5 of the Educational Employment Rela-
       tions Act requires that each recognized or certified employee organization
       must annually make available to the union’s members a detailed written finan-
       cial report.
            This requirement applies to ALL CSEA chapters. The form used
       by CSEA chapters to meet the legal requirement is currently known as the
       PERB 160 Report Form. The report must be made available to members by
       March 1.
           The printed copies of the forms are distributed via General Information
       Bulletin to each chapter in January of each year. Additional copies may then
       be xeroxed to prepare your working drafts of the reports, or additional printed
       copies of the forms may be ordered from Association Headquarters.


       COMPLETING THE PERB 160 REPORT FORM
          Note that the PERB-160 is a two-sided form, with  numbered items that
       must be completed. Following are the instructions for completing each item.
           1. FULL NAME OF ORGANIzATION: Insert the official chapter
              name and number.
              Affiliation: California School Employees Association
           2. MAILING ADDRESS: Insert the official address of the chapter at
              which all chapter mail is received.
               PHONE NUMBER: The phone number of the Chapter President
               or Treasurer.
           3. DATE THE ORGANIzATION’S FISCAL YEAR ENDS: De-
              cember 31, (the appropriate calendar year).
           4. FOR EACH UNIT…: In the appropriate column, insert:
               EMPLOYER: The name of your school district, college district, or
               other employing entity.
               COUNTY: The County in which the employing entity is located.
               UNIT TYPE OR TITLE: List each separate bargaining unit as
               certified by PERB which is represented by the chapter. For example,
               if recognized as a wall-to-wall unit, the unit would be listed as “clas-
               sified.” If more than one classified unit has been certified by PERB,
               list only the units your chapter represents, but list them separately
               — such as “operations/maintenance,” “clerical/technical,” “parapro-
               fessional,” and etc.
               FAIR SHARE SERVICE FEE: For each unit you have listed,
               indicate either “Yes” or “No” if the chapter collects a chapter fair
               share service fee from non-members.




1–22                                                                     October 2006
    5. AMOUNT OF MEMBERSHIP DUES: The following statement
       should be inserted: “Association per capita dues at 1.5% of salary
       (excluding overtime) maximum of $367.50 annually, plus local chap-
       ter dues of $______1 annually.” Always check current dues schedule
       for correct amounts.
        AGENCY FAIR SHARE SERVICE FEE 2 : Insert the following
        statement: “NO AGENCY/FAIR SHARE FEES ARE COLLECTED
        FOR THIS CHAPTER.”
    	   Notes:
        (1) Insert the per year dollar amount of your chapter dues. If the chapter does
            not charge local dues, omit the reference to local chapter dues.
        (2) If the chapter collects local fair share fees (per policy 1004), please see
            “Chapter Fair Share Fees” on page 5–4.

Before you begin to complete items 6 and 7 on the reverse side of
the PERB form, you will need to assemble the following items:
    ➤ Copies of all paid bills, invoices, vouchers, etc. for the fiscal year.
    ➤ Bank statements and bank statement reconciliation for the year.
    ➤ Canceled checks for the year.
    ➤ Bank deposit receipts for the year (including backup papers indicating
      source of funds, such as the descriptive portion of a check.)
    ➤ Checkbook with stubs fully filled out.

    6. BALANCE SHEET, Parts A and B
        Line 6.A.(1) asks for amount of money on hand and in banks at the
        beginning and end of the fiscal year. Go back in your records to the
        beginning of the fiscal year (January 1) and determine the balance
        of all chapter accounts at that time — include the chapter checking
        account plus any chapter savings accounts. Enter this figure on line
        6.A.(1) under “Start of Fiscal Year.” Determine the end of the fiscal
        year (December 31) balances in these same accounts by reconciling
        your bank statements and checkbook and savings account records.
        Enter the resulting figure under the “End of Fiscal Year” (second
        column) on line 6.A.(1).
        Line 6.A.(2) through 6.A.(5): Most chapters have no assets other
        than checking and savings accounts to report on the PERB form.
        Typewriters, computers, etc., are considered expenses when they are
        purchased and do not require a depreciation schedule. If your chapter
        owns property which can be sold for more than $5,000, however, it
        should be placed on a depreciation schedule and reported as an asset.
        Other items reportable on lines (2) through (5) are promissory notes,
        lands or buildings, stocks or bonds.
        If you believe your chapter may have assets to report on lines 6.A.(2)
        through 6.A.(5), and if you need assistance in filling out this portion
        of the form, you should contact the Financial Analyst/Auditor at CSEA,
        2045 Luncy Ave., San Jose, CA 95131, phone (00) 632-212, ext. 1296.


October 2006                                                                              1–23
           Line 6.A.(6): Total amounts in both columns.
           Line 6.B.(1) through 6.B.(5): Most chapters have no liabilities to
           report. Line 6.B.(1), which requests a statement of accounts and bills
           payable, need not be filled in unless there are any single items of over
           $100. If your chapter owns assets for which payments are being made,
           or if your chapter owes money on promissory notes, you should, of
           course, report these items. Again, assistance is available through the
           Financial Analyst/Auditor at CSEA Headquarters.
       7. STATEMENT OF OPERATIONS, Parts A and B
           To complete this item you will need to prepare either a “Quicken
           Itemized Categories Report” or forms F-1015 and F-1016.
           These forms will help you prepare a cash record for your chapter.
           A cash record is a record of all cash transactions made, and will
           account for money held in banks, savings and loan institutions, and
           credit unions. It is divided into cash receipts (money received) and
           cash disbursements (money paid out) during the fiscal year.
       QUICkEN
           If your chapter has an established bookkeeping system, the receipts
           and disbursement headings may differ from those on the PERB-160
           form and may need to be reorganized to fit the PERB categories.
           Quicken will assist in that effort.
           We recommend that the chapter’s bookkeeping system be revised to
           conform to the PERB categories and that the chapter use Quicken to
           record all receipt and disbursement transactions on an ongoing basis
           so that less time will be needed to prepare future PERB reports.
       PREPARING THE F-1015
         Some chapters continue to use forms F-1015 and F-1016. If preparing
         the F-1015, use the following guidelines:
         Each time income is received, it must be entered in F-1015 twice.
         Enter all amounts received either in column (1) or (2) and again in
         columns (3) through (6) as appropriate. Columns (1) or (2) reflect the
         total amount of the deposit, and columns (3) through (6) provide an
         explanation of the category of receipts(s) included in the deposit. The
         total of amounts entered in columns (3) through (6) equal the total
         amount entered in columns (1) or (2) for any single deposit record.
           When you have listed and categorized all deposits made during the
           fiscal year period, total all of the columns. Add the totals of col-
           umns (1) and (2) together. Add the totals of columns (3) through (6)
           together. The two resulting figures should equal each other, if they
           do not, there has been an error which must be found.




1–24                                                                October 2006
       Transferring the Figures to the PERB-160 Form
       ✔ Total columns (1) and (2) and enter this figure on line 7.A.(4)
         of the PERB-160.
       ✔ Total column (3) and enter this figure on line 7.A.(1) of the
         PERB-160.
       ✔ Total column (4) should equal column (6) on Form F-1016.
       ✔ Total column (5) and enter this figure on line 7.A.(2).
       ✔ Total column (6) and enter this figure on line 7.A.(3) of the
         PERB-160.
   PREPARING THE F-1016
     Each disbursement must be entered twice on F-1016.
     Again, note that all disbursement amounts are entered either in column
     (1) or column (2), and once more in columns (3) through (). Columns
     (1) or (2) show the total amount paid, and columns (3) through () are
     used to show the purpose for which the payment was made. The total
     of amounts entered in columns (3) through () equal the total amount
     entered in columns (1) or (2) for any single payment record.
       Column (9) is used to provide an explanation of any amount paid.
       Column (10) is for use ONLY by Pre-approved Policy 1004
       Agency Shop chapters, and an explanation for its use is provided
       on the following page.
       When all payments (disbursements) for the fiscal year are properly
       listed and categorized, total all of the columns. Add the total of col-
       umns (1) and (2) together. Add the total of columns (3) through ()
       together. The two resulting figures should equal each other, if they
       do not, there has been an error which must be found.
       Transferring the Figures to the PERB-160 Form
       ✔ Total columns (1) and (2) and enter this figure on line 7.B.(7)
         of the PERB-160.
       ✔ Total column (3) and enter this figure on line 7.B.(1) of the
         PERB-160.
       ✔ Total column (4) and enter this figure on line 7.B.(2) of the
         PERB-160.
       ✔ Total column (5) and enter this figure on line 7.B.(3) of the
         PERB-160.
       ✔ Total column (6) should equal column (4) on Form F-1015.
       ✔ Total column (7) and enter this figure on line 7.B.(5) of the
         PERB-160.
       ✔ Total column () and enter this figure on line 7.B.(6) of the
         PERB-160.




October 2006                                                                     1–25
       Completing Column 10 of the F-1016 (Pre-approved Policy 1004
       Collection of Chapter Fair Share Service Fee)
          This column is for the sole use of chapters which have been pre-
          approved by CSEA under Policy 1004 to collect a chapter fair share
          service fee.
          Each line-item expenditure listed on the F-1016 form must be coded
          in Column 10 to identify the purpose of the expenditure. The form
          (See page 1–34) titled “Major Categories of CSEA Expenditures” pro-
          vides a breakdown of the 17 major areas for which expenditures are
          made. Review the description provided under each category, and
          for each of your line-item expenditures enter one of the codes, “1”
          through “17” — whichever one you feel most appropriately applies
          to the purpose of the expenditure — with the following exceptions:
          “X”      If the revenue source of any expenditure comes form other
          than chapter membership dues or service fees, such as from fundraisers
          or other types of voluntary contributions, then these expenditures are
          to be coded with the letter “X.” (For example, many chapters fund
          their chapter scholarships in this matter.)
          “P”     Multiple-use expenditures, that is, any line-item expenditure
          that cannot be clearly identified as falling within the definition of
          one of the 17 numeric codes, should be coded with the letter “P.” An
          example of this type of expenditure might be one listed simply as an
          expenditure for “printing,” and some portion of the “printing” cost
          may have been for contract ratification notices, and some portion may
          have been for a flyer announcing chapter scholarships available only
          to CSEA member dependents. Also, the printing of chapter newslet-
          ters may fall into this category if they cover multiple purpose subjects.

       8. ExPENDITURES THAT CONSTITUTE THE BASIS FOR
          THE AMOUNT OF AGENCY OR FAIR SHARE FEE:
          ➤ If NONE of your chapter’s represented bargaining units is pre-
            approved under Policy 1004 to collect a chapter fair share fee
            (and you have entered “NO” in the fourth column of item 4 on the
            PERB-160), simply enter: “No expenditures that constitute the basis
            for the amount of agency or fair share fee.”
          ➤ If your chapter has been pre-approved by CSEA under Policy
            1004 to collect a chapter fair share service fee (and you have
            entered “YES” where appropriate in the fourth column of item
            4 on the PERB-160), enter the following statement:
          	   “See attached (1) statement of expenses and allocation between
              chargeable and non-chargeable expenses for fiscal year and (2) fis-
              cal year major categories of expenses.”




1–26                                                                October 2006
Reconciling the Bank Statement (Item 6) and Statement
of Operations (Item 7) of the PERB Report Form
     Once you have complete all  items on the PERB form, you must per-
form the following calculations to reconcile your cash record as entered on
the PERB-160 form:
     Add the total cash receipts for the year [line 7.A.(4) of the PERB-160
form] to the balance on hand at the start of the fiscal year [line 6.A.(1) of the
PERB-160 form, first column]. Subtract cash disbursements for the year [line
7.B.(7) of the PERB-160 form] from this figure. The resulting figure should
agree with your balance on hand at the end of the fiscal year [line 6.A.(1) of
the PERB-160 form, second column].
        ✔ Line 6.A.(1) — Start of Fiscal Year.
        ✔ Plus line 7.A.(4). Total receipts for the fiscal year.
        ✔ Less line 7.B.(7). Total money paid out for the fiscal year.
        ✔ Equals line 6.A.(1) — End of Fiscal Year.
    As a final check, perform the following computation:
       ✔ Add line 6.A.(6) — Start of Fiscal Year.
       ✔ Plus line 7.A.(4).
       ✔ Less line 7.B.(7).
       ✔ Equals line 6.A.(6) — End of Fiscal Year.

Sign and Distribute the Completed PERB Financial Report
    Finally, the chapter president and treasurer must sign the report.
    1. Send a copy of PERB-160 to the Financial Analyst/Auditor
        Include a copy of the PERB-160 Report AND a copy of either
        • Quicken Itemized Categories Report or
        • Forms F-1015 and F-1016
                Financial Analyst/Auditor
                California School Employees Association
                2045 Lundy Ave.
                San Jose, CA 95131
    2. Notice to the Chapter Membership (ALL Chapters). There are
       two ways to notify the membership of the PERB report.
                 ➤        If a “member’s only” page exists on the Chapter’s
                          official website, the PERB report could be posted on
                          this “member’s only” page. However, the members
                          must be made aware of the posting (i.e. a chapter
                          newsletter announcement) and how to get a copy if
                          they do not have access to a computer.
                 ➤        Send a copy of the PERB form to each member of the
                          chapter, accompanied by a brief notice indicating that
                          detailed financial records are available for inspection
                          upon request. (See p. 1–35)




October 2006                                                                        1–27
       3. Retain a copy of each of the completed forms for your permanent
          chapter files. (Note: All financial records used in preparing the PERB
          report should be kept together in a single box, envelope, or file. Care
          should be taken not to intermingle them with materials pertaining to
          other fiscal years.)




1–2                                                               October 2006
                                   Assn. per capita at 1.5% of salary to max of $_________ per annum, plus $10 local dues




   San Francisco Regional Office
   1330 Broadway, Suite 1532
   Oakland, CA 94612-2514
   (510) 622-1016




October 2006                                                                                                                1–29
1–30   October 2006
October 2006   1–31
1–32
               EXPLANATORY NOTES
               1. Numeric Codes—Refer to 17 codes listed as Major Categories of
                   CSEA Expenditures in Treasurers’ Handbook
               2. “X”—Expenditures for which no portion comes from dues or service
                  fees; not included for purpose of calculating chargeable percentage.
               3. “P”—Expenditures not clearly chargeable to a single number code;
                   pro-rated between ‘“chargeable,” “non-chargeable” on same percent
                   basis as those identified by specific codes.




October 2006
October 2006
               EXPLANATORY NOTES
               1. Numeric Codes—Refer to 17 codes listed as Major Categories of
                   CSEA Expenditures in Treasurers’ Handbook
               2. “X”—Expenditures for which no portion comes from dues or service
                  fees; not included for purpose of calculating chargeable percentage.
               3. “P”—Expenditures not clearly chargeable to a single number code;
                   pro-rated between ‘“chargeable,” “non-chargeable” on same percent
                   basis as those identified by specific codes.




1–33
       MAJOR	CATEGORIES	OF	CSEA	EXPENDITURES

       (Only for chapters that collect local chapter service fees.)

       1.	 Contract	Negotiations                                      9. Defense	of	Representational	Rights	and	Duties
       	 Developing and presenting contract proposals, nego-          	 Defending against the decertification of existing bar-
           tiating and contract ratifications.                           gaining units. Investigating claims against CSEA prior
                                                                         to litigation.
       2.	 Contract	Administration
       	 Contract disputes, grievances (other than discipline)        10.	Institutional	Maintenance
           and job actions concerning wages, hours and work-              Various operating costs such as rent, utilities, main-
           ing conditions. Includes researching and answer-               tenance, personnel administration, general CSEA
           ing questions from bargaining unit members about               accounting and financial management, office man-
           rights arising out of an employment relationship               agement and other integral costs of maintaining
           where CSEA is the exclusive representative.                    CSEA’s existence.

       3.	 Disciplinary	Matters                                       11.	Political	Action
       	 Representation of any bargaining unit employee to            	 Contributions, staff time or other support for any
           challenge disciplinary action taken by an employer.            political party, political organization or candidate for
           Does not include internal union discipline (included           political office. Includes get-out-the-vote drives. Does
           in category 10)                                                NOT include campaigns limited to ballot propositions
                                                                          that directly concern rights arising out of an employ-
       4.	 Unfair	Practices                                               ment relationship where CSEA is the exclusive rep-
           Investigation, documentation, verification and settle-         resentative.
           ment discussions, prior to the filing of an unfair prac-
           tice charge, concerning a bargaining unit employer’s       12.	Recruiting
           conduct that I arguably prohibited by labor laws gov-      	 Efforts to obtain new members in either existing or new
           erning collective bargaining. Expenses incurred after          bargaining units.
           the filing of a charge are included in category 5.
                                                                      13.	Litigation	Not	Related	to	Collective	Bargaining
       5.	 Litigation	Related	to	Collective	Bargaining                	 Litigation before agencies or in the courts that does not
       	 Litigation before agencies or in the courts that directly        concern either CSEA as an institution or the enforce-
           concerns either CSEA as an institution or the enforce-         ment of rights arising out of an employment relation-
           ment of rights arising out of an employment relation-          ship where CSEA is the exclusive representative.
           ship where CSEA is the exclusive representative.
           Includes the enforcement of organizational security        14.	Legislative	Activity	Not	Requested	by	Employers	
           rights and the cost of defending challenges to the             or	Not	Related	to	Collective	Bargaining
           amount of fair share service fees.                         	 Legislative analysis and lobbying that does not directly
                                                                          concern rights arising out of an employment relation-
       6.	 Legislative	Activity	requested	by	Employers	and	               ship where CSEA is the exclusive representative.
           Related	to	Collective	Bargaining
       	 Legislative analysis and lobbying that directly con-         15.	Education	Not	Related	to	Collective	Bargaining
           cerns rights arising out of an employment relation-        	 The prorated costs of that portion of the official
           ship where CSEA is the exclusive representative,               CSEA publications devoted to subjects not related to
           but only where CSEA is the exclusive representative,           collective bargaining (category numbers 11 through
           but only where such activity has been requested                17). Workshops and other training programs in such
           by employers. Includes lobbying for budgetary and              subjects.
           appropriations decisions benefiting CSEA bargain-
           ing units.                                                 16.	Member-Only	Benefits
                                                                      	 Non-contractual insurance and other CSEA benefits
       7.	 Union	Meetings                                                 available only to members. Also includes research-
           Meetings of chapters, regional representatives, the            ing and answering questions about matters not related
           Board of Directors or staff which are devoted to gen-          to an employment relationship where CSEA is the
           eral union affairs rather than to a single specific sub-       exclusive representative.
           ject covered by another category. Includes CSEA’s
           annual conference. Includes social activities open to      17.	Contributions
           nonmembers.                                                	 Contributions to other organizations including chari-
                                                                          table and educational groups. Includes dues paid to
       8.	 Education	Related	to	Collective	Bargaining                     other labor organizations, except for the portion of
       	 The prorated cost of the portion of the official CSEA            such dues spent in categories that directly impact
           publications devoted to subjects related to collective         collective bargaining for CSEA bargaining units.
           bargaining (category numbers 1 through 10). Work-              Includes community service programs and miscel-
           shops and other training programs in such subjects             laneous mattes not related to collective bargaining.
           and in the development of representational skills.



1–34                                                                                                                   October 2006
October 2006   1–35
                                                Balance Sheet               qUICKEN PRINTOUT A




1–36
                                              as of 12/31/2003




                                                                 12/31/02           12/31/03
               Account                                           Balance            Balance




               ASSETS
                 Cash and Bank Accounts
                   General Fund Checking                         1,000.00            727.10
                   General Fund Savings                           500.00             985.00
                   TOTAL Cash and Bank Accounts                  1,500.00           1,712.10

                 TOTAL ASSETS                                    1,500.00           1,712.10

               LIABILITIES & EQUITY

               LIABILITIES                                         0.00               0.00

                 EQUITY                                          1,500.00           1,712.10

               TOTAL LIABILITIES & EQUITY                        1,500.00           1,712.10




October 2006
                                                       San Martin #900         qUICKEN PRINTOUT B
                                                   Statement of Operations
                                                 1/1/2003 through 12/31/2003




October 2006
                                                                                  1/1/2003-
               Category Description                                               12/31/03

               INCOME
                 Local Chapter Dues                                                           972.00
                 Other Receipts
                   Fundraisers
                     Candy Sales                                                            625.00
                     Cookbook fundraisers                                                 1,360.00
                     TOTAL Fundraisers                                                    1,985.00
                   Retiree Luncheon                                                         220.00
                   TOTAL Other Receipts                                                   2,205.00
                 FROM General Fund Savings                                                1,500.00
                 TOTAL INCOME                                                             4,677.00

               EXPENSES
                 Chapter Office & Admin Exp
                   Copies                                                                      15.90
                   Office Supplies                                                             32.00
                   Postage & Printing                                                          59.50
                   TOTAL Chapter Office & Admin Exp                                           107.40
                 Other Payments
                   Conference
                     Airfare                                                                300.00
                     Housing                                                                460.00
                     Per Diem                                                               440.00
                     Registration                                                           152.00
                     TOTAL Conference                                                     1,352.00




1–37
                                                                              qUICKEN PRINTOUT C




1–3
                                                      San Martin #900
                                                  Statement of Operations
                                                1/1/2003 through 12/31/2003




                                                                                 1/1/2003-
               Category Description                                              12/31/03
                   Fundraiser Expense
                     Candy Fundraiser                                                      400.00
                     Cookbook Fundraiser                                                   200.00
                     TOTAL Fundraiser Expense                                              600.00
                   Installation Dinner                                                      58.00
                   Orientation Speaker                                                      50.00
                   Retiree Luncheon                                                        230.00
                     Retiree Pin                                                            19.00
                     TOTAL Retiree Luncheon                                                249.00
                   Scholarship                                                             500.00
                   Workshops                                                                48.50
                   TOTAL Other Payments                                                  2,857.50
                 TO General Fund Checking                                                1,500.00
                 TOTAL EXPENSES                                                          4,464.90

               OVERALL TOTAL                                                                 212.10




October 2006
                                                            Itemized Categories                    qUICKEN PRINTOUT D
                                                        1/1/2003 through 12/312003

               Date                         Account                 Num Description         Memo         Clr   Amount




October 2006
               INCOME
               Local Chapter Dues
                    1/26/2003               General Fund Checking   DEP   CSEA                                     89.00
                    2/26/2003               General Fund Checking   DEP   CSEA                                     90.00
                    3/25/2003               General Fund Checking   DEP   CSEA                                     91.00
                    4/21/2003               General Fund Checking   DEP   CSEA                                     91.00
                    5/20/2003               General Fund Checking   DEP   CSEA                                     96.00
                    6/19/2003               General Fund Checking   DEP   CSEA                                     98.00
                    7/18/2003               General Fund Checking   DEP   CSEA                                     98.00
                    10/29/2003              General Fund Checking   DEP   CSEA                                    106.00
                    11/30/2003              General Fund Checking   DEP   CSEA                                    107.00
                    12/29/2003              General Fund Checking   DEP   CSEA                                    106.00
               TOTAL Local Chapter Dues                                                                           972.00

               Other Receipts
               Fundraisers
               Candy Sales
                   1/26/2003                General Fund Savings    DEP   Various Members                         625.00
               TOTAL Candy Sales                                                                                  625.00

               Cookbook fundraisers
                   6/4/2003                 General Fund Savings    DEP   Various Members                        1,360.00
               TOTAL Cookbook fundraisers                                                                        1,360.00
               TOTAL Fundraisers                                                                                 1,985.00

               Retiree Luncheon
                    4/26/2003               General Fund Checking   DEP   Various Members                          220.00
               TOTAL Retiree Luncheon                                                                              220.00
               TOTAL Other Receipts                                                                              2,205.00

               TOTAL INCOME                                                                                      3,177.00




1–39
                                                                                                               qUICKEN PRINTOUT E
                                                                  Itemized Categories




1–40
                                                              1/1/2003 through 12/312003

               Date                               Account                 Num Description           Memo                   Clr   Amount
               EXPENSES
               Chapter Office & Admin Exp
               Copies
                    4/30/2003                     General Fund Checking     288 San Martin School                                   -15.90
               TOTAL Copies                                                                                                         -15.90

               Office Supplies
                    1/26/2003                     General Fund Checking     281 Hammond Supply                                      -32.00
               TOTAL Office Supplies                                                                                                -32.00

               Postage & Printing
                   2/12/2003                      General Fund Checking     282 San Martin School                                   -34.50
                   10/2/2003                      General Fund Checking     297 San Martin School   Ratification Notices            -25.00
               TOTAL Postage & Printing                                                                                             -59.50
               TOTAL Chapter Office & Admin Exp                                                                                    -107.40

               Other Payments
               Conference
               Airfare
                    7/16/2003                     General Fund Checking     290 Carlson Wagonlit                                   -300.00
               TOTAL Airfare                                                                                                       -300.00

               Housing
                   8/3/2003                       General Fund Checking     293 Bally's Las Vegas                                  -460.00
               TOTAL Housing                                                                                                       -460.00

               Per Diem
                   7/25/2003                      General Fund Checking     291 John Pear                                          -220.00
                   7/25/2003                      General Fund Checking     292 Robert Peach                                       -220.00
               TOTAL Per Diem                                                                                                      -440.00

               Registration




October 2006
                   6/15/2003                      General Fund Checking     289 CSEA                                                -152.00
               TOTAL Registration                                                                                                   -152.00
               TOTAL Conference                                                                                                   -1,352.00
                                                           Itemized Categories                         qUICKEN PRINTOUT F
                                                       1/1/2003 through 12/312003

               Date                        Account                 Num Description              Memo         Clr   Amount




October 2006
               Fundraiser Expense
               Candy Fundraiser
                    12/15/2003             General Fund Checking     298 Chocolate Factory                           -400.00
               TOTAL Candy Fundraiser                                                                                -400.00

               Cookbook Fundraiser
                   3/16/2003               General Fund Checking     283 Pro Printing                                -200.00
               TOTAL Cookbook Fundraiser                                                                             -200.00
               TOTAL Fundraiser Expense                                                                              -600.00

               Installation Dinner
                    1/20/2003              General Fund Checking     280 Heidi's Restaurant                           -58.00
               TOTAL Installation Dinner                                                                              -58.00

               Orientation Speaker
                   9/14/2003               General Fund Checking     296 John Adams                                   -50.00
               TOTAL Orientation Speaker                                                                              -50.00

               Retiree Luncheon
                    4/2/2003               General Fund Checking     284 Joan Apple                                   -10.00
                    4/25/2003              General Fund Checking     286 Le Chalet Restaurant                        -220.00
               SUBTOTAL Retiree Luncheon                                                                             -230.00

               Retiree Pin
                    4/25/2003              General Fund Checking     285 CSEA                                         -19.00
               TOTAL Retiree Pin                                                                                      -19.00
               TOTAL Retiree Luncheon                                                                                -249.00

               Scholarship
                   8/3/2003                General Fund Checking     294 Andrew Plum                                 -250.00
                   8/3/2003                General Fund Checking     295 Sharon Apple                                -250.00
               TOTAL Scholarship                                                                                     -500.00




1–41
                                                                                    qUICKEN PRINTOUT G




1–42
                                                      Itemized Categories
                                                  1/1/2003 through 12/312003

               Date                   Account                 Num Description   Memo          Clr   Amount
               Workshops
                    4/25/2003         General Fund Checking     287 CSEA        Job Stewart             -48.50
               TOTAL Workshops                                                                          -48.50
               TOTAL Other Payments                                                                  -2,857.50


               TOTAL EXPENSES                                                                        -2,964.90

               OVERALL TOTAL                                                                           212.10




October 2006
                 PERB MAjOR CATEGORIES
                   USED wITH qUICKEN
               Categories in­ italics are n­ot used by CSEA


   1. RECEIPTS
       a. Chapter Dues
       b. Fees an­d assessmen­ts (CSEA does n­ot use this category)
       c. Other Receipts (interest or fundraisers)


   2. EXPENSES
       a. Payment to affiliates (Example: Local Union Coalitions)
       b. Payments to Officers (Stipends, membership dues refund, etc.)
       c. Payments to Employees (CSEA does not use this category)
       d. Office and Administrative expenses (newsletter, postage, office
          supplies, etc.)
       e. Payments for benefits (CSEA does not use this category)
       f. Other disbursements (Conference, fundraisers, scholarships, etc.)




October 2006                                                                  1–43
EXAMPLE OF PERB REPORT 160 FOR CHAPTERS COLLECTING
LOCAL CHAPTER FAIR SHARE SERVICE FEES




                                       Assn. per capita at 1.5% of salary to max of $_________ per annum, plus $10 local dues




       San Francisco Regional Office
       1330 Broadway, Suite 1532
       Oakland, CA 94612-2514
       (510) 622-1016




1–44                                                                                                                      October 2006
October 2006   1–45
1–46   October 2006
                              SECTION 2



Membership Categories
                                 MeMbership
               Active, Inactive, Exempt, Retired
Definition of MeMbership in GooD stanDinG
                Dual Chapter MeMbership
                               ViCtory Club
                retireD MeMber proGraM
             exeMpt MeMbership proGraM
                   MeMbership appliCation
                         MeMbership CarDs
MeMbership CateGories
MEMBERSHIP
     There are four types of membership which CSEA chapter treasurers need
to be aware of, and will encounter in regular chapter operations: active, inac-
tive, exempt and retired.

1. Active
     Any person, without regard to race, creed, color, national origin, sex, age,
sexual orientation or political belief employed in any phase of public employ-
ment within the state of California and who is entitled to be represented by the
Association by the laws of this State shall be eligible for ‘‘Active’’ membership.
     ‘‘Active’’ membership status shall cease at such time as the member
becomes eligible for any other category of membership as defined herein, or
at such time as s/he voluntarily or involuntarily terminates his/her employ-
ment with a qualifying agency. Loss of membership as a result of involuntary
termination shall take effect on the date of issuance of conclusive governing
board action in the case of non-merit systems, or personnel commission action
in the case of merit systems. The member shall continue to hold “Active”
status throughout any periods of appeal(s) to the governing board/personnel
commission prior to their conclusive action, even though the member may be
in an unpaid status during said appeal period(s).
     Notwithstanding the above, “Active” members who are laid off and
placed on a reemployment list or whose involuntary termination is pending
further appeal action, through PERB or court actions as deemed appropriate,
shall have the option of continuing in “Active” membership status during the
period they are carried on the reemployment list or until such appeal(s) have
been finally decided, upon continued payment of dues in the amount in effect
at the time of layoff or termination, thereby retaining full voting rights and all
other rights accorded “Active” members.

2. Inactive
    Any ‘‘active’’ member of this Association who is granted an unpaid leave
of absence by his/her employer or is placed on a reemployment list and is not
otherwise in a paid status with the employer shall be eligible for ‘‘Inactive’’
membership status. Such members shall be eligible for representation in any
matter appropriate to ensure their employment status. They shall not other-
wise be accorded voice or vote in Association affairs.
    Note: When returning to Active member status, a new membership
    application must be submitted.




October 2006                                                                         2–
      3. Exempt
           The following members shall be entitled to transfer to ‘‘Exempt’’ mem-
      bership status:
           . Members whose positions are lawfully declared to be management or
               confidential and thereby excluded from an existing bargaining unit.
           2. Members who have lawfully been designated as supervisors and who
               are not entitled to representation by this Association in accordance
               with the laws of this State.
           ‘‘Exempt’’ members shall not be eligible for, nor shall they be accorded,
      any representation rights, or voice, vote, or any other participation in Associa-
      tion affairs. This membership class is provided solely to preserve any insurance,
      special services, or similar services to which they were or might be entitled as
      ‘‘active’’ members.
           Payment of exempt membership dues is determined in Article VII, Sec-
      tion 2(c) of the Bylaws:
              ‘‘Exempt members shall pay, annually, in advance, $40.00 or
              half (/2) of the maximum required for their salary category
              as contained in Section 1, whichever is greater.’’
          Please note that payments can only be paid annually and in advance.
      Membership must be continued from date of exemption. The member is auto-
      matically billed once a year for renewal of exempt membership payment.

      4. Retired
           Any retiree who was employed in the classified service of any Califor-
      nia school district or who was employed in any public agency represented
      by CSEA shall be eligible for retired membership in the Retiree Unit. Such
      “Retired” members shall be eligible for participation in special services,
      insurance and other membership benefit programs as may be made available
      to retirees, and shall receive the Association’s official publication as well as
      such other publications as may be approved by the Board of Directors.
           See page 2–7 for further information on retired membership.
      RetiRee AffiliAte
           The surviving spouse of any retiree who was a member of the Retiree
      Unit in good standing at the time of death is eligible for “affiliate” member-
      ship in the Retiree Unit. This membership entitles the “Affiliate” member to
      the following:
           ➤ Receive the CSEA publications.
           ➤ Eligible to participate in special services and other membership
               benefit programs provided to retirees.
           ➤ Eligible to participate in CSEA group insurance programs.
           Retiree Affiliate Member dues are $24.00, paid annually in advance,
      or by automatic deduction of two dollars per month from Public Employees
      Retirement System (PERS) warrants.




2–2                                                                      October 2006
DEfINITION Of MEMBERSHIP IN GOOD STANDING

CSEA Policy Section 103.1.02(a) defines the effective date of ‘‘membership
in good standing’’ for new members electing payroll deduction of dues.
             New members will not be considered to be ‘‘in good
        standing’’ for purposes of voting rights or the right to hold
        office until the first of the month following the month in
        which the first payroll deduction has been made, UNLESS
        they pay in cash to cover dues payments for the month or
        months prior thereto.
             It should be noted that the new member is not required
        to pay the cash dues payments for these intervening months.
        Membership in CSEA is still considered to be effective upon
        signing the application form for purposes of establishing eli-
        gibility for insurance or other membership benefits. The only
        instances in which the cash payment would be required is if
        the member wanted to immediately acquire the status of ‘‘in
        good standing’’ for purposes of having immediate voting rights
        within the chapter or for purposes of establishing eligibility
        requirements to hold a chapter or Association office.




October 2006                                                                 2–
      DUAL CHAPTER MEMBERSHIP
      Per Policy Handbook Section 614
            The Association recognizes that there may be instances where a member
      is employed by more than one school district and therefore is required, for
      representational purposes, to be a member of and pay per capita dues through,
      more than one CSEA chapter. In such instances the member’s total annual
      dues payments may be more than would be required if based on a combined
      total annual salary from each of the employing districts.
            For example, in March 2004, if a member earned a total annual salary of
      $28,000, the annual dues assessment would be $326.25, the maximum cap.
      However, if that member received $20,000 of that annual salary from one dis-
      trict, and $8,000 from another district, s/he would be required to remit dues
      of $300 and $120 respectively, for a total of $420 annually — or $93.75 more
      than would be required if dues were assessed on the combined annual salary
      for the two districts.
            To alleviate this inequity, the Association will provide appropriate
      refunds to such members in accordance with the following procedures:
            If a member belongs to more than one CSEA chapter and believes that
      s/he is paying more than the required annual per capita dues maximum rate
      based on a total combined annual salary, s/he shall provide the Association’s
      Chief Financial Officer, in writing, the following data:
          ➤ Member’s name, address, and social security number or CSEA mem-
            bership number.
          ➤ Chapter name and chapter number of each CSEA chapter of which
            s/he is a member.
          ➤ Total annual salary received from each of the employing districts
            established as of September .
          ➤ Date first employed by each of the employing districts.
           CSEA Headquarters will verify the information provided with each of
      the Chapter Treasurers, and if the member is in fact remitting at an excessive
      dues rate, s/he shall be refunded the amount of the overage on an annual/
      monthly basis.
           If a refund is not to be provided, the member shall receive written com-
      munication advising of this determination and the reasons therefore.
           It shall be the member’s duty and obligation to notify CSEA Headquar-
      ters (Chief Financial Officer) of any change in employment status during the
      school year which would cause a reduction in his/her annual dues rate.
           A refund may be requested at any time during the year. Appropriate
      refunds will be issued for over payments occurring up to twelve (2) months
      prior to notification.




2–4                                                                    October 2006
VICTORY CLUB
     The ViCtORY ClUB was established in 1992 under the authority of
the CSEA Board of Directors in recognition of CSEA’s need to expand its
ability to protect the rights and welfare of classified employees within the
political process. The rights of public employees are at risk and the Victory
Club is an innovative program to strengthen and expand CSEA’s political
presence in the State Capitol.
     The ViCtORY ClUB works to protect classified employee’s job secu-
rity and rights in the workplace through increased political action.
     Victory Club contributions strengthen CSEA’s political action fund to:
    ➤ Elect a governor who supports public education;
    ➤ Elect pro-worker legislators;
    ➤ Elect pro-classified school board members;
    ➤ Defeat anti-public school and anti-worker initiatives;
    ➤ Secure increased funding for education budgets; and
    ➤ Fight cuts to critical public services.
     Victory Club membership applications are available at each field office,
CSEA headquarters or from your area PACE representative. Membership
through automatic salary deduction is encouraged since it lowers administra-
tive costs and maximizes long-range budget planning, which is critical to
the success of all political campaigns. Completed membership applications
should be mailed to CSEA Headquarters, Accounting Dept.
    Members will receive their Victory Club pin in the mail shortly after their
Victory Club membership application is processed. Notification for payroll
deduction is mailed to the employer from CSEA headquarters. (See page 2–6)

Membership Categories
    *Member        Automatic salary deduction of $1–$2.99/month per year,
                   or direct annual contribution of $15–$39.99.
    *Sponsor       Automatic salary deduction of $3–$5.99/month per year,
                   or direct annual contribution of $40–$74.99.
    *VIP           Automatic salary deduction of $6/month per year, or more,
                   or direct annual contribution of $75 or more.

    RETIREES may join any of the above three categories through direct
    contribution.
    *Membership and automatic deductions may be terminated at any time,
    upon written request to CSEA Headquarters Accounting Department.




October 2006                                                                      2–5
2–6   October 2006
RETIRED MEMBER PROGRAM
     California School Employees Association has a membership program
specifically designed for retired members. When a drop/status code of ‘‘1’’
(Retired) is recorded, information regarding the Retiree Unit along with an
application form is mailed directly to the member for participation in our
retired membership program.
     Retired member dues are $24.00, paid annually in advance, or paid by
automatic deduction of two ($2) dollars per month from Public Employers
Retirement System (PERS) warrants. Some chapters as a gift for their retirees
pay the first year’s dues. Gift certificates are available from the CSEA Head-
quarters Accounting Department.
     CSEA’s Constitution, Article II, Section 1, (e) defines retiree membership
and the rights and privileges such membership confers:
    1. Any retiree who was employed in the classified service of any
       California school district or who was employed in any public
       agency represented by CSEA shall be eligible for retired mem-
       bership in the Retiree Unit. Such “Retired” members shall be
       eligible for participation in special services, insurance and other
       membership benefit programs as may be made available to
       retirees, and shall receive the Association’s official publication
       as well as such other publications as may be approved by the
       Board of Directors.
    2. ‘‘Retired’’ members shall be eligible to serve in appointive or
       elective positions within the Association in accordance with the
       following:
        (i)   Service at the Association level shall be restricted to
              appointive positions only, and shall be restricted to those
              who were “Active” members at the time of retirement.
        (ii) Service at the CSEA Chapter level shall be governed
             by provisions duly incorporated within each Chapter’s
             Constitution. Such service may include both appointive
             or elective positions, but shall be restricted to those who
             were “Active” members of the Chapter at the time of
             retirement.
        (iii) Service within the Retiree Unit shall include both
              appointive or elective positions, and shall be open to any
              “Retired” member in good standing, contingent only upon
              membership in a Retiree Council in accordance with Arti-
              cle XIII of the Bylaws.

A RETIRED MEMBER IS ELIGIBLE FOR THE FOLLOWING BENEFITS:
    ➤ Serve in Association level appointed positions.
    ➤ Assistance with PERS problems.
    ➤ Continued receipt of the Association’s Publications.




October 2006                                                                      2–7
      ➤ Continued participation in all Special Services programs and CSEA’s
        off-the-job legal referral/advice program.
      ➤ Certain Association insurance programs may be carried into retire-
        ment with retired member status.
      ➤ Eligibility to continue full participation as an active chapter member,
        including the right to vote and hold chapter offices, provided the
        local chapter permits such participation through provisions in its
        constitution. (Check with your chapter.)
      ➤ in order to retain any CSeA sponsored insurance programs, a
        retiring member must apply and remit the $24.00 annual fee or
        PeRS Retirement Deduction Authorization form with applica-
        tion to CSeA Headquarters within 60 days of retirement.




2–8                                                               October 2006
MEMBERSHIP APPLICATION
     The Membership Application (See page 2–) is one of the most impor-
tant CSEA documents. Upon completion and signature of applicant it allows
immediate membership into California School Employees Association and
authorizes deduction of CSEA dues and the immediate eligibility for the fol-
lowing:
     ➤ Professional representation       ➤ Merchant discounts
     ➤ Legal services                    ➤ Seminars/Trainings
     ➤ Focus magazine                    ➤ Hotel/motel discounts
     ➤ Other official publications       ➤ Scholarships
     ➤ Automobile discounts              ➤ Legislative advocacy
     ➤ Travel discounts                  ➤ Political action
     ➤ Attend Annual Conference          ➤ Retirement benefits
     ➤ Amusement/marine park             ➤ Credit Union
        discounts
     ➤ Group insurance (dental, life, vision, dependent life, etc.)
    When the member has completed the four-part CSEA membership
application, the chapter treasurer is responsible for the following:
    ➤	 Ensure eligibility for CSEA membership.
    ➤	 Verification of annual salary. Check with district personnel/payroll.
    ➤	 Date and signature of member.
    ➤	 Date and signature of treasurer.
    ➤ Current distribution of application.

Right to vote or hold office
    Only when a member is deemed to be “in good standing” will the mem-
ber have eligibility to vote or hold office. (See page 2–3 for more detail.)

Distribution
    WHite copy (CSEA HEADQUARTERS) – Mail to CSEA Headquarters
    (pre-paid envelopes are available). Members will receive a new member
    kit and their membership card within 2– weeks.
    GReen copy (EMPLOYER) – Forward to the school district
    to initiate payroll deduction.
    YellOW copy (CHAPTER TREASURER) – The chapter treasurer
    should have all current member applications on file.
    Pink copy (MEMBER) – Return the completed application to the
    member.




October 2006                                                                   2–9
       MEMBERSHIP APPLICATION

       Codes and Descriptions
        1. Social security number.
        2. Chapter number.
        3. Employee number.
        4. Name; last, first and middle initial.
        5. Year of birth.
        6. Male or female, check applicable box.
        7. Address, city, state and zip code.
        8. E-mail address.
        9. Mailing/permanent address (if different).
       10. Home telephone number.
       11. Date of hire.
       12. Employer.
       13. Work site.
       14. Work telephone number.
       15. Employee type.
       16. Hours worked per week.
       17. Monthly salary (base).
       18. Member’s job classification.
       19. First month/year payroll deductions will begin for CSEA dues.*
       20. Monthly CSEA dues.*
       21. Enter only if payment is made in cash.*
       22. Indicate month of CSEA dues coverage.*
       23. Monthly chapter dues.*

       24. Other Deductions. Enter a $2.00 deduction for political activities ONLY if
           VICTORY CLUB box is initialed (see #22).*

       25. Victory Club contribution.
           * Important Note: If Political Activities Box (Victory Club) is initialized by the
            member a $2.00 deduction must be entered by the treasurer in other deductions
            #2 ().
       26. Member’s signature and date signed.
       27. Treasurer’s signature and date signed.
       28. Area.
       *For treasurers use only (all shaded areas on application form)
       Important Note to Remember: For insurance purposes, membership is effective
       from the date the application is signed by the member.




2–0                                                                          October 2006
                                                            CALIFORNIA SCHOOL EMPLOYEES ASSOCIATION
                                                                Application for Membership and
                                            AFL-CIO
                                                                Salary Deduction Authorization

PLEASE PRINT	                                                                    	
                        1                                                       2                                     3
Social	Security	Number________________________________	 Chapter	Name	&	Number	_____________________	 Employee	Number	______________________

 4                                                                                                                                  5                                             6
____________________________________________________________________________________________	 	 	 	 	 DOB	|_______|_______|_______|	 	 	 	 	 ■	Female	 	 	 	 	 ■	Male
Last	Name	                                     First	Name	                            MI	                     Mo	     Day	     Yr
              7
_________________________________________________________________________________________________________________________________	 	 	 	 	 _________________________________
                                                                                                                                                                                    8
Street	Address	                                       City	                                          State	            Zip	                          E-mail
                9                                                                                                                                                          10
_________________________________________________________________________________________________________________________________	 	 	 	 	 (_________)______________________
Mailing	Address	(if	different)	                       City	                                          State	            Zip	                           Home	Telephone

   11                                     12                                                        13                                                                     14
__________________	        ____________________________________________________	                 ____________________________________________________	                 	 (_________)______________________
Date	of	Hire	              	District/Employer	                                                   	Work	Site	                                                                  	 	 	 	 			Work	Telephone	



                 15
Please	check	one:	 	 	 	 	 ■	9	Month	Employee	 	 	 	 	 ■	10	Month	Employee	 	 	 	 	 ■	11	Month	Employee	 	 	 	 	 ■	12	Month	Employee	 	 	 	 	 ■	Other	____________________________________

                              16                                           17
                                                         	______________
Hours	worked	per	week	__________	 	 	 	 	 Monthly	salary	$

Job	Classification	Code:	(check	one)            18
	 	 	 ■	1.	maintanence	&	operations	 	 	 ■	2.	office	&	technical	 	 	 ■	3.	food	service	 	 	 ■	4.	transportation	 	 	 ■	5.	paraeducator	 	 	 ■	6.	security/peace	officer



   FOR CHAPTER TREASURER USE ONLY: PLEASE PRINT

                                                                 19
   First	Salary	Deduction	Effective	Payroll	Date	(Mo/Yr)	________________________________	                              1.	 Monthly	CSEA	Dues	(pursuant	                   20
                                                                                                                                                                        $__________________________	
   	                                                                                                                    	 	 	to	the	Association	Constitution	&	Bylaws)	 	
                            21                                                   22
   *Cash	Payment	of	$___________________	covering	month(s)	of	 ______________________	                                  2.	 Monthly	Chapter	Dues	
                                                                                                                                                                       23
                                                                                                                                                                     $__________________________
   is	hereby	remitted	with	application.	(See	note	below.)
                                                          	                                                             3.	 Other	Deductions	                          24
                                                                                                                                                                     $__________________________


   Chapter Treasurer:-Please	make	sure	the	application	is	completely	filled	out,	and	the	member	receives	a	copy	of	the	Information	for	New	Members	Sheet	regarding	CSEA	
   dues	structure.	Copies	are	distributed	as	follows:	 original–CSEA	headquarters;	green–employer;	yellow–chapter	treasurer;	pink–member’s	copy.	Please	make	sure	the	form	is	
   signed	and	dated.

I	 wish	 to	 be	 represented	 by	 CSEA	 as	 my	 sole	 and	 exclusive	 collective	 bargaining	 representative	 for	 all	 matters	 relating	 to	
wages,	hours	and	other	terms	and	conditions	of	employment.
I	hereby	apply	for	membership	in	the	California	School	Employees	Association	(CSEA)	and	agree	to	abide	by	the	Constitution	
and	Bylaws	and	written	policy	of	the	Association	at	any	level	and	authorize	my	employer	to	deduct	from	my	salary	and	pay	to	
CSEA	the	periodic	dues	or	other	deductions	for	services	provided	by	or	through	CSEA.	If	an	increase	or	decrease	in	dues	or	
other	 deductions	 is	 adopted	 by	 CSEA,	 this	 authorization	 shall	 include	 the	 then-established	 dues	 or	 other	 deductions	 and	 no	
new	authorization	shall	be	required.
*NOTE:	Your	CSEA	membership	in	good	standing	for	purposes	of	establishing	voting	rights	and	eligibility	to	hold	CSEA	offices	
will	 not	 commence	 until	 the	 first	 of	 the	 month	 after	 the	 first	 payroll	 deduction	 has	 been	 taken,	 unless	 cash	 payment	 for	 the	
interim	period	is	remitted	with	this	application.	Exception:	Fair	share	service	fee	payers	currently	being	payroll	deducted	for	fair	
share	service	fees	will	be	“in	good	standing”	immediately	upon	submitting	a	signed	and	dated	membership	application,	and	pay-
ment	of	applicable	chapter	dues	for	the	interim	period.
CSEA	maintains	the	Victory	Club,	a	political	action	and	education	effort	to	assist	in	protecting	and	advancing	the	interests	of	our
members.	You	may	voluntarily	contribute	additional	monies	to	those	efforts.	By	initialing	the	box	to	the	right,	I	hereby	      25
join	the	Victory	Club	and	authorize	CSEA	to	withhold	from	my	salary	an	additional	$2.00	per	month	for	this	purpose.
                                                                                                                                                                                                 OR      Initial	here
                                                                                                                                                                                              ICT Y
                                                                                                                                                                                               ★
                                                                                                                                                                                      THE V




                                                                                                                                                                                              ★★★
                                                                                                                                                                                                  CLU
                                                                                                                                                                                                     B




                                                                                                                                                                                          CS A
                                                                                                                                                                                            E

                                                                                         26
Date	____________________________________	 	 	 	 Member’s	signature	_____________________________________________________________________	


                                                                                          27
Date	____________________________________	 	 	 	 Treasurer’s	signature	__________________________________________________________________		Area	___________
                                                                                                                                                                                                      28


                                                                                                                                                                                                      F-1045A-04




       October 2006                                                                                                                                                                                   2–
       MEMBERSHIP CARDS
           Membership cards are issued from CSEA Headquarters. All California
       School Employee Association members are entitled to and should receive a
       membership card when they first join CSEA.
           A new membership card is automatically generated upon receipt of dues
       and the completed new membership application at CSEA Headquarters. A
       new member can expect to receive the card and a New Member Kit within
       2– weeks after the application is received at Headquarters. This way, the
       member can utilize the special discount program, etc.
            The card contains the member’s “member number.” This is a new number
       and should replace any number that has previously been issued. The member
       number is very useful. For example, the number is required when purchasing
       items from the CSEA online store, and it is also used to access the members
       only section on the CSEA website.
           Members should keep their cards for their personal use. If a member
       loses his/her card, s/he can request a replacement card by calling CSEA Head-
       quarters Accounting Department.
           Important Note:
           Fair Share Service Fee Payers do not receive membership cards.




2–2                                                                  October 2006
                                     SECTION 3



Membership/Billing Information
    Refund foR oveRpayment of CSea aSSoCiation dueS

             dueS deduCtionS foR membeRS/fee payeRS
                          on Worker’s Compensation

               optionS foR membeRS who aRe Laid off
                 and pLaCed on a ReempLoyment LiSt

                    expLanation of dRop/StatuS foRm

                                  dRop/StatuS foRm

                        membeR StatuS Change foRm

                maiL fRom aSSoCiation headquaRteRS

    CSea meRChandiSe pRomotionaL itemS, StationeRy,
                          and aSSoCiation jeweLRy

                        CSea SuppLieS at no ChaRge
                                       oRdeR foRm
membeRShip/biLLing infoRmation
REFUND FOR OVERPAYMENT OF
CSEA ASSOCIATION DUES
    The Association recognizes that occasionally CSEA dues payments are
remitted for members who, for various reasons, should not have had CSEA
dues payments applied and that appropriate refunds should be made.
    If a member believes that s/he is due a refund, s/he shall provide the
Association’s Chief Financial Officer, in writing, the following data:
   ➤ Member name, address, social security number or CSEA membership
         number.
   ➤ Chapter name and number.
   ➤ Refund period covering date from and to and reason for refund.
   ➤ Backup information such as pay stub to determine validity of refund.
         With this information, CSEA Headquarters will verify refund request.
   ➤ Please indicate to whom refund check should be made payable and
         to what address.
    Important Note for Chapter Treasurers:
    CSEA Headquarters does not have the authority to stop a member’s
    CSEA dues payroll deduction. To avoid unnecessary refunds, it is impor-
    tant for the chapter treasurer to monitor the final reconciliation/chapter
    billing to ensure payroll deductions are appropriate and correct.


DUES DEDUCTIONS FOR MEMBERS/FEE PAYERS
ON WORKERS COMPENSATION
    The following procedures should be followed when a member/fee payer
goes on “INDUSTRIAL accident or illness leave” — “WORKERS COMP.”
    1. The California Education Code provides that most employees will
       receive at least 60 days full paid leave from the district (this period
       could be extended by contract, or some employees could be excluded
       by contract). In other words, the district is paying their full, regular
       salary from district funds during this period.
        Thus full CSEA dues are payable and deductible from the members/
        fair share service fee payers district paycheck during this period.
    2. If the employee is not released to return to work following the above
       period of fully paid leave, s/he will start to receive workers compen-
       sation benefit payments.
        However, these benefits are integrated and coordinated with any sick
        leave, vacation, comp. time or other district paid leave available to
        the employee. The workers compensation benefit check is endorsed
        over to the district, and the district reduces the employee’s sick leave,
        vacation, or comp. time only by that amount which, when added to


October 2006                                                                        3–
              the benefit check received from workers’ comp., totals the employee’s
              regular salary.
              The district then pays the employee’s regular salary, from district
              funds, and lawfully deducts union dues, income tax, social security tax,
              and other authorized deductions from the district’s salary warrant.
              Thus full CSEA dues are payable and deductible from the member’s/
              fair share service fee payer district paycheck during these periods of
              coordinated benefit payments.
          3. If the member’s/fair share service fee payer sick leave, vacation, or
             other authorized district paid leave is exhausted and the member/fee
             payer is still unable to return to work, s/he is then placed on a 39-
             month reemployment list with the district. At this point s/he will
             receive the workers’ comp. benefit checks direct from the workers’
             comp. insurer —
             and no union dues or other deductions will be taken from the
             benefit check.
              At this point the member has a choice to make:
              ➤ Resign CSEA membership, forfeiting all CSEA membership
                benefits, and cease paying dues; or
              ➤ The member can choose to retain CSEA membership, by going
                on an “Inactive” status, and continue to pay CSEA dues at one-
                half the rate they were paying at the time of placement on the
                re-employment list.
                  Since dues cannot be deducted from the benefit check, payments
                  must be made direct to CSEA on an annual basis.
          It is ONLY at this point — when the employee ceases to be on district
          salary and is placed on the re-employment list (or the district approves a
          period of “unpaid leave”) and s/he commences to receive worker’s comp.
          payments direct from the insurance company, that s/he is released from
          the obligation to pay CSEA dues.
          But even then, if a member chooses to continue as an “Inactive” mem-
          ber, must continue to pay the CSEA dues at the reduced rate.

           At no point in time is the CSEA member/fair share service fee payer who
      is on paid leave relieved of their obligation to pay CSEA dues simply because
      worker’s compensation benefits are being received.




3–2                                                                     October 2006
OPTIONS FOR MEMBERS WHO ARE LAID OFF
AND PLACED ON A REEMPLOYMENT LIST
   If members are laid off and placed on a reemployment list, they have two
   options:
   1. Those who are chapter officers or are in other leadership positions,
      may retain “Active” status by continuing to pay full membership
      dues—both chapter and Association—based on the amount they were
      paying at the time of layoff, for the length of time they are placed on
      the reemployment list due to layoff.
       Retaining “Active” status will permit those laid off to retain their
       rights to voice and vote in chapter affairs; the right to continue to
       hold (or to be elected) to a chapter or Association office; and to con-
       tinue eligibility for most membership benefits.
       Please note: Continuation of “Active” membership is available only
       to those who are on a 39-month reemployment list due to layoff.
       Those who may be placed on a reemployment list for other reasons
       are eligible for “Inactive” status only.
   2. For those not in leadership positions, but who wish to retain their
      CSEA membership benefits, may continue in an “Inactive” status
      by paying one-half of the annual dues requirement, both chapter and
      Association, based on the amount they were paying at the time of lay-
      off. These dues must be paid on an “annual in advance” basis, direct
      to the Association.
       Continuing in “Inactive” status permits the member to retain most
       membership benefit programs. However, it will not allow the member
       to have a voice or vote in chapter or state affairs, nor will it permit
       them to hold a leadership position.
       Chapters need to implement an internal procedure for notifying
       members subject to layoff, of their membership options. Whether
       the member chooses “Active” or “Inactive” status, all rights of mem-
       bership will cease at the end of the 39-month reemployment period.
       Therefore members must decide at the time of layoff if they wish
       to continue membership in CSEA and notify the chapter treasurer
       accordingly.
       Chapter treasurers must then enter the appropriate “drop code” on
       the “Member/Drop Status” form for the appropriate month.




October 2006                                                                     3–3
3–   October 2006
EXPLANATION OF DROP/STATUS CODES
To be used by the chapter treasurer to identify chapter
members that are no longer eligible for active CSEA
membership.


Use of Status Change Codes—Drop Codes
Codes explanation
    21    deCeased
    22    leFt distRiCt—Member left employment of school district
          or has become a certificated employee or management.
    23    leaVe oF aBsenCe—Member is on an extended UNPAID
          leave and is dropped from current active membership status, CSEA
          insurance and special discount programs will be discontinued.
    27    RetiRed—This code will generate a letter sent directly to the
          member on retired member benefits.
    28    QUit CHapteR—Indicates a member who is still working for
          the school district but does not wish to retain membership in CSEA
          (this code cannot be used when a maintenance of membership or
          agency shop is in effect).
    62    leaVe oF aBsenCe (inaCtiVe)—Member is on an extended
          UNPAID leave of absence or placed on a 39-month reemploy-
          ment list and chooses to continue CSEA dues payments at 1/2 rate.
          CSEA insurance and special discount, member benefit programs
          will continue. However, all voice, vote or other activity within the
          chapter must cease.
If at the end of the period of approved leave or 39 months, the member has
not been reinstated to ACTIVE employment, they must be dropped.
    24    laid oFF—Indicates a member who has been laid off and put
          on a 39-month rehire list due to elimination of position, etc. and
          chooses not to continue CSEA membership.
    25    eleCtion loss—Indicates a member whose unit has
          been lost through decertification. (including a vote for “No
          Representation”)
    26    exeMpt—Members whose positions are lawfully declared
          to be management, confidential, or supervisory and thereby
          excluded from an existing CSEA bargaining unit. (See p. 2–2
          for more information)




October 2006                                                                     3–
      MEMBER DROP/STATUS FORM (F-1027)
      (See page 3–7)

           This form, when completed and mailed to CSEA Headquarters, identifies
      all members that are no longer an ACTIVE member of CSEA. This information
      is vital for CSEA Headquarters to maintain CURRENT membership files.
           The following information must be completed.
          1. Chapter Number
          2. Member Name
          3. Social Security Number (optional)
          4. CSEA Number (required if no social security number)
          5. Applicable Drop/Status Code
          6. Effective Date
          7. Treasurer’s/Payroll Signature and Date
          Upon completion this form should be mailed immediately to CSEA Head-
      quarters. Additional copies can be requested on the No Charge Supply Form—
      F-08­ (See page 3–), or additional copies can be made on a copy machine.




3–6                                                                 October 2006
                          California SChool EmployEES aSSoCiation                            2045 Lundy Ave., San Jose, CA 95131 • (800) 632-2128 • FAX (408) 943-1746
                          mEmBEr/ Drop StatUS form
                AFL-CIO

                  ChaptEr                                                                                             SoCial SECUrity #          CSEa #                    EffECtivE
                  nUmBEr        mEmBEr’S namE                                                                              (optional)       (required if no SSn)   CoDE*     DatE




October 2006
               *Use of status change codes—drop codes.
                Codes explanation:
                  21 Deceased
                  22 Left district (Resigned, employment terminated)                                                      ________________________________________
                                                                                                                           Treasurer/Payroll Signature
                  23 Leave of absence—unpaid (Chooses not to continue CSEA membership)
                  24 Laid off—(wishes to continue CSEA membership and 1⁄2 dues)
                  25 Election loss                                                                                        _____________________________________________________
                  26 Exempt (Lawfully declared management, confidential, supervisory, excluded                             Date
                     from bargaining unit)
                  27 Retired
                  28 Quit chapter (Chooses not to continue CSEA membership)
                     This code can’t be used when a security organizational agreement is in effect.




3–7
                  62 Leave of absence (1/2 dues)                                                                                                                                1027-05
       MEMBER STATUS CHANGE FORM
            The Member Status Change Form (see page 3–9) is for use by chapter
       treasurers (the shaded areas are for headquarters accounting personnel only),
       to change and correct the membership/fee payer file.

       Completion of form
           The following data must be shown on each member status change form
       prepared:
           1. Member’s current California School Employees Association number.
              If the member’s CSEA number is unknown, the social security num-
              ber may be used.
           2. Member’s chapter name and number.
           3. Reason for entry (promotion, change of last name, etc.)
           4. Prepared by (Treasurer should sign and date to indicate that form
              has been completed correctly. The date reflects the date the form
              was completed.)
           The computer will not update a member file unless items , 2, 3 and 
       have been entered. Any one or all of the following items can be changed or
       added to the member file by entering only the new data:
           a.     Member name
           b.     Date of birth (month/day/year)
           c.     Sex
           d.     Member address (please complete full address)
           e.     Telephone numbers
           f.     E-mail
           g.     Date of hire
           h.     Months employed
           i.     Member status
           j.     Montly salary
           k.     Dues for state Association
           l.     Dues for chapter
           m. Date the dues are effective
           n.     Job classification
           o.     Authorized by (leave blank)

       Responsibility
           Once this form has been prepared, the preparer must sign and date it, and
       note the reason for the entry. Please return the original copy immediately to
       CSEA Headquarters and retain the second copy for chapter files.




3–8­                                                                    October 2006
October 2006
                                                                    California SChool EmployEES aSSoCiation
                                                                                   member Status Change
                                                     AFL-CIO                   inDiCatE nEW ChanGES only
               plEaSE print
                                           1                                                                                                     2
               CSEA ID Number_______________________________________________ Chapter Name & Number __________________________________________________

                    a                                                                                                                   b
               ____________________________________________________________________________________________                  DOB |_______|_______|_______|             ■ Female
                                                                                                                                                                                  c ■ Male
               Last Name                                      First Name                             MI                                 Mo       Day     Yr
                    d
               _________________________________________________________________________________________________________________________________________________________________________
               Street Address                                                    City                                                State                           Zip

               _________________________________________________________________________________________________________________________________________________________________________
               Mailing Address (if different)                                    City                                                State                           Zip
                    e
               (_________)_______________________________________        (_________)_______________________________________
               Home Telephone                                              Work Telephone

               ____________________________________________________________________________________________________
                     f                                                                                                                                                                   j
                                                                                                                                                           Monthly salary          $______________
               E-mail
                    g                                                                                  h                                     i             Monthly Association          k
               ____________________________________________________        Months Employed __________ Member Status ___________                            dues                    $______________
               Date of Hire
                                                                                                                                                                                         l
                                                                                                                                                           Monthly chapter dues $______________

                                                                                                                                                           Effective date                      m
                                                                                                                                                                                   _______________
               Job Classification Code: (check one)      n
               ■ 1. maintenance & operations   ■ 2. office & technical    ■ 3. food service   ■ 4. transportation   ■ 5. paraeducator    ■ 6. security/peace officer

                                3
               ______________________________________________________________________________
                                                                                                                         4
                                                                                                         ______________________________________________________________________________
               Reason for entry                                                                           Prepared by                                                    Date
                                                                                                                                                                                                         MEMBER STATUS CHANGE FORM (F-1023)




                                o
               ______________________________________________________________________________                                                                                                F-1023-05
               Authorized by (CSEA Headquarters use only)




3–9
       MISSING INFORMATION LISTING
            The missing information listing (see page 3–) is a listing by individual
       member/fair share service fee payer indicating all information that is currently
       missing from CSEA membership files. It is mailed to all chapter treasurers
       every three (3) months. This information is needed to complete and update
       the chapter’s membership file.
            It is vital that the treasurer complete and forward this information to
       CSEA Headquarters immediately. If any information is not entered or com-
       pleted, the computer will continue to ask for this same information.
            Year of birth is a very sensitive subject. If this information is unavail-
       able, please indicate with ‘‘99’’ on the listing. This is used as a ‘‘filler’’ for the
       spaces open and the computer will discontinue asking for this information.
            Please complete and submit this form immediately to insure a complete
       and accurate chapter membership file.




3–0                                                                          October 2006
October 2006   3–
       MAIL FROM ASSOCIATION HEADQUARTERS

            As treasurer, you should receive mail from Headquarters which includes
       financial-related documents from the Association. If you are not receiving
       billing information, you should verify with your local field office secretary
       that the Roster of Chapter Officers has you listed as chapter treasurer and as
       the billing contact.




3–2                                                                    October 2006
CSEA MERCHANDISE
PROMOTIONAL ITEMS, STATIONERY AND
ASSOCIATION JEWELRY

Association officer/membership jewelry
    CSEA offers a wide variety of officer/membership pins which covers
most of the spectrum of officer leadership positions. These items are only
available at CSEA Headquarters.

Promotional items
     CSEA offers a variety of items such as t-shirts, mugs, sweatshirts, jack-
ets, etc., that are available at cost to all chapter membership. These items are
only available through CSEA Headquarters.
     Please call CSEA Headquarters Member Benefits Department for current
order form, including the price list.

CSEA stationery
    CSEA stationery such as letterhead, envelopes, post cards, etc., are avail-
able from CSEA Headquarters for a nominal fee. Please call the Office Ser-
vices Department for the price of these items.
   Note: All orders must be accompanied by check or money order and
made payable to California School Employees Association.

CSEA supplies
No Charge Supplies Form (F-1018)
(See page 3–)
    CSEA Headquarters has no-charge supply items available to all chapters.
These items are free to each chapter and are listed on the chapter order form,
F-08­. This form is available upon request. To order any of the no-charge
items, fill out the form in duplicate and mail it to CSEA Headquarters, Office
Services Department. Please allow two (2) weeks for delivery of your order.




October 2006                                                                       3–3
3–   October 2006
CALIFORNIA SCHOOL                                               For Headquarters Use:
EMPLOYEES ASSOCIATION                                           Chapter Name and No. ____________________________
2045 Lundy Avenue, San Jose, CA 95131
                                                                Date Order Filled: _________________ By: ____________
Phone: (408) 433-1282
E-mail: warehouse@csea.com


                          Chapter Order Form – No-Charge Supplies
The following supplies are available for chapter use at no charge. Fill in blank space with a reasonable
request for the number of copies needed and return to the above address. Please prepare the request
form in duplicate. The second copy will be returned with the order as a check list.


  _________ * Application for Membership and Authorization for Payroll Deduction

  _________       Chapter Treasurer Report (CSEA Form F-1073)

  _________       Cash Disbursement Record (CSEA Form F-1016)

  _________       Cash Receipt Record (CSEA Form F-1015)

  _________       Certificate: Chapter Appreciation

  _________       Certificate: Honorary Chapter Life Membership (for Retiring Members)

  _________       Chapter Order Form – No-Charge Supplies (CSEA Form F-1018)

  _________       CSEA Jewelry Price List and Order Form (CSEA Form F-1019A)

  _________       CSEA Promotional Items (please contact Member Benefits for latest list or go to www.csea.com)
  _________       Constitution and Bylaws

  _________       Disbursement Voucher Record (CSEA Form F-1075)

  _________       Financial Report (PERB 160A & PERB 160B)

  _________       Member Drop/Status Form (CSEA Form F-1027)

  _________       Chapter Bank Reconciliation (CSEA Form F-1074)

  _________       Envelope (#10) Imprinted with HQ address and postage paid

  _________       Envelope 9.5" x 12.5" (peel and seal)

  NOTE: Please order items marked with an * in units of 25, i.e., 25, 50, 75, etc.
        Please allow 2 weeks for delivery of your order.

SPECIAL INSTRUCTIONS:

_________________________________________________________________________________________

_________________________________________________________________________________________


Requested by:                                                  Address for Mailing:

_____________________________________                          ______________________________________
(Name & Office Held)                                           (P.O. Box or Street)


_____________________________________                          ______________________________________
(Chapter Name & Number)                                         (City & Zip Code)


Date requested: ________________________________

                                                                                                            F-1018-05


October 2006                                                                                                       3–
3–6   October 2006
                                           SECTION 4



CSEA Direct Dues Payment Program
                                              Procedures
                                     Final reconciliation
                              direct Pay delinquency list
     automatic dePosit oF csea chaPter checks (GiB 02-04)
                                      stale-dated checks
CSEA DIRECT DUES PAYMENT PROGRAM
    Procedures for collecting Association per capita dues/fees under the
Direct Dues Payment Program are as follows:
    1. The Payroll Deduction Data/Register and the warrant for Association
       dues/fees deductions will be sent directly to CSEA Headquarters by
       the county/district office or employer as appropriate.
    2. Upon receipt of the Payroll Deduction Data/Register and Warrant,
       CSEA Accounting staff will perform the following:
        ➤ Reconcile CSEA’s membership file with the county/district/
          employer Payroll Deduction Data/Registers.
        ➤ Individual payment distribution; including identifying the chap-
          ter’s portion of each member’s dues, identifying credits taken by
          the payroll department, and determining chapter members for
          whom the county/district/employer failed to make deductions.
    3. CSEA Accounting staff will then forward the following to the chapter
       treasurer:
        ➤ Final Reconciliation Forms, (See pages 4-4 through 4-8) listing
          all chapter member/fee payers, CSEA membership number, cur-
          rent status, service fee payer status, pay day, applicable Asso-
          ciation dues, chapter dues, other voluntary deductions and the
          amount received and applied.
        ➤ The local chapter dues check will be mailed with reconciliation.
          Direct deposit to your chapter bank account is available upon
          written request. (See page (4-10)
    4. CHAPTER TREASURER RESPONSIBILITIES under the Direct
       Dues Payment Program will be as follows.
        ➤ The immediate completion and distribution of all membership
          applications for each new member. (See Section 2 pages 2–10
          thru 2–11) It is vital that the district payroll department receives
          the signed authorization to begin CSEA dues deductions. Also,
          the CSEA Accounting Department will thus have the completed
          applications on file prior to receipt of the county/district warrant
          and listing.
        ➤ Complete the requested information on the Direct Pay Delin-
          quency List, especially the drop/status of members who are no
          longer being payroll deducted for CSEA dues. Please forward
          the completed information to the CSEA Accounting Department
          immediately.
        ➤ Collecting and forwarding monies to CSEA Headquarters on
          any ‘‘skipped’’ dues/fair share service fees not deducted by the
          county/district office.




October 2006                                                                     4–1
              ➤ Collecting and forwarding the Association dues and fees for any
                member/fair share service fee payer paying direct to the chapter
                treasurer.

           Chapter delinquency listing, indicating members no longer being payroll
      deducted, is mailed once a month. This listing can be used to update drop/sta-
      tus codes. (See page 4–8, Direct Pay Delinquency List)




4–2                                                                   October 2006
fINAl RECONCIlIATION
     The Final Reconciliation form is a printout of all monies received on a
specific date and payment applied to each individual member/fee payer. It
will be mailed to each chapter treasurer.
     The chapter treasurer should review the final Reconciliation listing for
accuracy and current status of all member/fair share service fee payers.

fair Share Service fee Payers
     A Fair Share Service Fee Payer is any person who is being deducted
for CSEA Association and/or Fair Share Service Fees, and is listed by the
district as an employee, but does not have a signed membership application
on file with CSEA. If those listed are known to be members, then a copy
of their membership application should be forwarded to the accounting
department immediately, as they will be denied any and all membership
rights until the status is changed to “Member.”

Members with Refund Checks
    (The following numbers refer to the headings on the “Reconciliation
Report” on pages 4–4 and 4–5.)
    1. Chapter number, name and area
    2. Name
    3. Middle Initial
    4. CSEA ID #
    5. Status (drop codes)
    6. Pay day (payroll date)
    7. Amount remitted (Total amount payroll deducted from member’s
        paycheck for CSEA dues/contributions.)
    8. Association dues applied
    9. Chapter dues applied
  10. Insurance
  11. Victory Club contribution applied
  12. Refund




October 2006                                                                    4–
                          1

      2
          3   4   5   6       7   8   9   10     11    12




4–4                                            October 2006
                   1

         2
               3       4   5   6   7   8   9   10   11   12




October 2006                                              4–5
fINAl DETAIl RECONCIlIATION
RECAP PAGE

      1. Chapter number, name and area
    2. Date check was received; check number, and check amount
    3. Total Association dues applied
    4. Total chapter dues applied
    5. Total insurance applied
    6. Total Victory Club applied
    7. Total amount remitted
    8. Total over/shortage amount
    9. Total refund amount
  10. “If you have any questions concerning this reconciliation…”
  11. Treasurer Notes: These are important messages to you from
      your Financial Services Assistant. Please read these notes
      carefully.




4–6                                                                 October 2006
         000                  Any place Unified 1

            2




                        3       4          5        6   7   8




                                                                9




       10

                GOOSE, LUCY




  11




October 2006                                                        4–
      P.O. BOX 640, 2045 LUNDY AVENUE, SAN JOSE, CA 95131 PH: (408) 473-1000




                                         Direct Pay Delinquency List

      DATE: 31-OCT-04

      CHAPTER: 000      ANYPLACE UNIFIED SCHOOL DIST.                  AREA# F

      TO:     LUCY GOOSE
              3030 APPLESAUSE WAY
              CITRUS CA 91399-5434



      The following members/fair share fee payors no longer appear on the district/county payroll deduction
      listing for CSEA dues deductions.
      Please check with your payroll department to find the reason why they are no longer being payroll
      deducted CSEA dues and indicate correct status/drip code, or provide any other explanation
      immediately, and return to CALIFORNIA SCHOOL EMPLOYEES ASSOCIATION at the above
      address. Thank you.
                                             DROP/STATUS CODES
                                             ---------------------------------

              21. DECEASED                     22. LEFT DISTRICT                 23. LEAVE OF ABSENCE
              24. LAID OFF                     25. ELECTION LOSS                 26. EXEMPT
              27. RETIRED                                62. LEAVE OF ABSENCE (1/2 DUES)



      Name                    ID                         SOC.SEC#                DROP/STATUS CODE

      Apple, John             57013                      XXX-XX-7132
      Aspen, Paul             31234                      XXX-XX-0953
      Nectarine, Sue          232311                     XXX-XX-1300
      Orange, Jean            167834                     XXX-XX-2650




4–8                                                                                                       October 2006
                               California School Employees Association
                              GENERAL INFORMATION
                                   BULLETIN
                 AFL-CIO




  January 9, 2004                                                                 General Information Bulletin No. 2–04




           AUTOMATIC DEPOSIT OF CSEA CHAPTER CHECKS
  Action for Chapter Presidents: Direct deposit of Chapter dues will expedite
  receipt of dues. Complete the attached form to begin the process.

A. SUBJECT MATTER
    Please be advised that all chapters are able to have CSEA payments directly deposited to their designated
    bank account(s) by Electronic Funds Transfer (EFT). EFT can expedite funds into your bank account(s) up
    to –5 days.
    To initiate an EFT, the chapter must complete the attached form entitled “California School Employees
    Association Authorization Agreement for Automatic Deposits (Credits).” In addition to the authorization
    form, a voided check and deposit slip should also be forwarded to Michele Murphy, c/o the Accounting/
    Finance Department at CSEA’s headquarters in San Jose, CA.
B. REQUIRED ACTION
    By Chapter Presidents: For discussion at Chapter Meeting to advise Chapter of option to receive
    automatic deposits from CSEA.


                                                       CALIFORNIA SCHOOL EMPLOYEES ASSOCIATION




                                                       Bud Dougherty
                                                       Executive Director
BD:cj:sk



DISTRIBUTION:
(For Action) Chapter Presidents
(For Information) Board of Directors; Alternate Area Directors; Regional Representatives; Assistant Regional Representatives;
All Standing Committee Members; PACs; RPROs; Retiree Unit Executive Board; Retiree Council Presidents; Life Members;
Honor Roll; Chapter Treasurers; All Staff

PREVIOUS BULLETIN INFORMATION:
GIB 1-04, dated 1/9/04, and titled “Lock Box for CSEA,” was given general distribution.

California School Employees Association • P.O. Box 640 • San Jose, CA 95106 • (408) 4-1000 • (800) 62-2128

October 2006                                                                                                                    4–9
                        CALIFORNIA SCHOOL EMPLOYEES ASSOCIATION
                       Authorization Agreement for Automatic Deposits (Credits)

I hereby authorize California School Employees Association (CSEA) to initiate credit entries
to the checking/savings account indicated below for:
1) Payroll       2) Reimbursement Payment/s; or    3) Both   (*Circle One*)

Bank Name __________________________________________________________________

City ____________________________________ State ________ Zip __________________

Branch _____________________________________________________________________

CSEA will provide me with an email confirming reimbursement payment which will include
amount deposited to the checking/ savings account and date of the transfer deposit. (Due to sys-
tem transfer requirements at the bank, reimbursements may appear as much as 48 hours after
the notification.) This authority is to remain in full force and effect until CSEA has received written
notification from me of its termination in such time and in such manner as to afford CSEA a rea-
sonable opportunity to act on it.

Account Name/Chapter Name and Number ________________________________________

Authorizing Person/s __________________________________________________________

Email Address (*REqUIRED*) ___________________________________________________

Signature ___________________________________________________________________

Date __________________________

Please attach a voided check for the above checking/savings account.



cc: Employee
       Employee File
       Accounts Payable File




EOP/auth agree auto dep- 10/02




4–10                                                                                      October 2006
CSEA POlICY 124: STAlE-DATED ChECkS

124 STALE-DATED CHECKS
	   Adopted	July	2002

    .1   Effective October 1, 2002, checks issued by CSEA will be voided six (6)
         months after their issue date. Checks more than six (6) months old will not be
         reissued by CSEA.

    .2   CSEA may reissue unpaid checks, which are less than six (6) months old,
         upon request of the payee; however, any bank fees, including stop payment
         charges, will be deducted from the amount.




October 2006                                                                              4–11
4–12   October 2006
                                                          SECTION 5



               Fair Share Service Fee Payers
                                                             IntroductIon
                Laws that PermIt unIons to coLLect Fees From non-members
                                            enForcement oF Fee coLLectIon
automatIc deductIon oF member dues or non-member FaIr share servIce Fees
                             FaIr share servIce Fee Payer InFormatIon Form
                            member vs. FaIr share servIce Fee Payer status
          transFers From FaIr share servIce Fee Payer to membershIP status
                 transFers From membershIP to FaIr share servIce Fee Payer
                   non-member FaIr share servIce Fees equaL member dues
                                           chaPter FaIr share servIce Fees
                                                 advance rebate Program
                                                          chaPter rebates
                                                          hudson notIces
                       who to ask IF you have questIons about Fee Payers
FaIr share servIce Fee Payers
INTrOduCTION
     This section concerns collection from non-members of a fair share ser-
vice fee, sometimes referred to as “fair share,” “service fee,” or “agency fee.”
     CSEA can collect from non-members a fair share fee in an amount equal
to Association member dues. Additionally, a chapter can receive approval from
the Executive Director to collect from non-members a chapter fair share service
fee, equal to chapter dues. The laws and procedures affecting the collecting of
Association and chapter fair share service fees are explained in this section.


lawS ThaT pErmIT uNIONS TO COllECT fEES
frOm NON-mEmbErS
As financial advisor to your chapter and its unit(s) and as the responsible
agent for CSEA and your chapter for the collection of dues and service fees,
you should be aware of the provisions of California law which allow unions
to collect service fees from non-members. Government Code section 3546,
commonly referred to as SB 1960, gives the exclusive representative union
the option to trigger a mandatory payroll deduction for dues or service fees
from all bargaining unit members. This mandatory payroll deduction does not
require negotiations. Before the passage of SB 1960, unions had to negotiate
for the inclusion of organizational security provisions in the union contract.
CSEA continues to have the right to enforce any organizational security contract
provisions in addition to the union’s rights under SB 1960. “Organizational
security” is defined in Government Code section 3540.1 (i) to mean either:
     (1) Maintenance of Membership (heading and emphasis added):
         An arrangement pursuant to which a public school employee may
         decide whether or not to join an employee organization, but which
         requires him or her, as a condition of continued employment, if he
         or she does join, to maintain his or her membership in good stand-
         ing for the duration of the written agreement. However, no such
         arrangement shall deprive the employee of the right to terminate his
         or her obligation to the employee organization within a period of 30
         days following the expiration of a written agreement; or
     (2) Agency Shop, including fair share service fee payers (heading and
         emphasis added):
         An arrangement that requires an employee, as a condition of contin-
         ued employment, either to join the recognized or certified employee
         organization, or to pay the organization a service fee in an amount
         not to exceed the standard initiation fee, periodic dues, and general
         assessments of the organization for the duration of the agreement,
         or a period of three years from the effective date of such agreement,
         whichever comes first.
    Contact your labor relations representative for further information.

October 2006                                                                       5–1
      ENfOrCEmENT Of fEE COllECTIONS
           Part of the job of a chapter treasurer is to monitor any attempt to discon-
      tinue dues and service fee payments by the district or by unit members that
      are covered by SB 1960 or organizational security contract agreements. Such
      attempts should be promptly brought to the attention of the chapter president
      and the chapter’s executive board so that prompt action can be initiated to
      enforce the contract and collect the dues and fees.

      automatic deduction of member dues or Non-member
      fair Share Service fees
           CSEA membership dues are usually paid by automatic dues deduction
      from the worker’s paycheck. A payroll deduction authorization is incorpo-
      rated in CSEA’s membership application. The signed application thus autho-
      rizes voluntary payroll deduction of CSEA dues.
           Fair share service fees are automatically deducted for new bargaining
      unit members until a CSEA membership application/payroll deduction autho-
      rization is received. Under SB 1960 CSEA specifies when automatic deduc-
      tion begins. In all other cases, the contract specifies the time to begin automatic
      deduction. SB 1960 authorizes an involuntary deduction of service fees from
      the wages of non-members.
           Voluntary payroll deduction is initiated when the bargaining unit mem-
      ber completes the employer's payroll deduction authorization form. Invol-
      untary payroll deduction of service fees occurs when a unit member fails
      or refuses to submit a payroll deduction authorization. However, any contract
      provision regarding organizational security must state that a service fee payer
      may pay his/her fees directly to CSEA in lieu of payroll deduction.
           All Association and chapter service fees must be forwarded directly to
      CSEA Headquarters. No chapter shall receive Association or chapter service
      fees directly from the employer.


      faIr SharE SErVICE fEE paYEr
      INfOrmaTION fOrm
           A Fair Share Service Fee Payer Information Form (See page 5–7)
      must be completed by the treasurer and forwarded immediately to CSEA
      Headquarters on any new employees being payroll deducted without a signed
      CSEA membership application on file.
           The organizational security provision of your contract need not be as a
      ‘‘condition of employment’’ in order to be enforceable. Absent a condition of
      employment or automatic deduction of dues/fair share service fees, there is an
      enforcement mechanism through small claims court. Contact your labor rela-
      tions representative for more information.
           It is clear that the chapter treasurer will be the first to know when this
      section of the contract has been violated as the non-payment of dues delin-
      quency report will be mailed to the chapter treasurer each month. The prompt
      reporting of such non payments to the president and executive board of the
      chapter will save both time and money for the chapter and the Association.


5–2                                                                       October 2006
     Any problems or questions concerning enforcement should be brought
to the attention of the labor relations representative assigned to serve your
chapter.


mEmbEr VS. faIr SharE SErVICE fEE
paYEr STaTuS
     In bargaining units that have triggered SB1960 or collect fees pursuant to
contract, any new employees being payroll deducted without a signed CSEA
membership application on file will be coded as fare share service fee payers,
until such time as a completed membership application is received. Treasurers
should obtain the full name, address, year of birth, county of residence and
job classification of any fair share service fee payer, and forward it to the
Accounting Department at CSEA Headquarters. Doing so will help CSEA
meet all requirements for fair share service fee payers.
     Fair share service fee payers are identified on a separate reconciliation
report. (See page 4–5)
     Fair share service fee payers are not entitled to any member benefits
that California School Employees Association offers, and do not receive the
following:
    ➤ Membership card,
    ➤ Member discounts provided through CSEA’s Member Benefits
      Department,
    ➤ Insurance program benefits,
    ➤ Voice or vote in chapter or Association.
    ➤ CSEA official publications such as Focus magazine.


TraNSfErS frOm faIr SharE SErVICE fEE paYEr
TO mEmbErShIp STaTuS
     When a service fee payer wishes to become a member of CSEA s/he
must fill out an Application for Membership and Payroll Deduction Authori­
zation—F­1095 (see page 2–13). This application will be completed the same
as for a new member. In the shaded area marked for chapter treasurer’s use,
check the box indicating that service fees are already being deducted, and
make sure that Victory Club deductions are added to his/her monthly payroll
deduction if appropriate. Forward the original copy to CSEA headquarters.


TraNSfErS frOm mEmbErShIp TO faIr SharE
SErVICE fEE paYEr
     CSEA members who wish to drop their membership must continue to pay
CSEA fair share service fees, if CSEA implemented SB1960 in the bargaining
unit or payment of a fair share service fee is required by contract. The member
must also submit a signed, written statement canceling CSEA membership,
which is to be forwarded to CSEA Headquarters, with a copy retained in the
chapter treasurer’s files.

October 2006                                                                      5–3
      NON-mEmbEr faIr SharE SErVICE fEES
      Equal mEmbEr duES
           Service fee charges for all non-members shall be calculated based on
      the regular per capita dues rate for Association dues as set forth in CSEA’s
      Bylaws. Article VII, Section 7 of the Association Bylaws states as follows:
           (a) Service fees provided for under an organizational security
               clause in a collective bargaining agreement entered into by
               a chapter of this Association shall require the fee which is to
               be paid to be the same as dues required of a member under
               Section 1 of this Article.
           Thus, chapters may not enter into an organizational security agreement
      which provides for a lesser payment, in violation of CSEA’s Bylaws.
               Provisions governing monies paid by bargaining unit members
      granted a religious exemption may be included in your contract. Requests
      for religious exemptions should be forwarded to the Chief Counsel at CSEA
      Headquarters.


      ChapTEr faIr SharE SErVICE fEES
           Chapters may establish a chapter fair share service fee payable by non-
      members, not to exceed the regular chapter membership dues, provided the
      chapter implements, prior to collection of such charge, all procedures con-
      tained in CSEA Policy 1004 which apply to the collection of chapter fees.
               No chapter shall initiate a chapter service fee deduction without first
      receiving written approval from the Executive Director or his/her designee
      that the chapter has complied with CSEA policy and all current legal require-
      ments for collection of a chapter service fee from non-members. In particular,
      an independent audit of the chapter’s financial records is a prerequisite for
      receiving approval to collect a chapter service fee from non-members. The
      chapter must document its ability to comply with all procedures set forth in
      CSEA Policy 1004.3, 1004.4 and 1004.6 on forms provided for such purpose
      by the Executive Director or his/her designee.
           CSEA Headquarters annually distributes a General Information Bulletin
      (GIB) giving chapters instructions and model forms for this purpose. The
      Executive Director must receive the chapter’s documentation on or before
      June 1.
           If approved, no chapter shall initiate a chapter service fee deduction prior
      to the September payroll.

      advance rebate program
           In order to comply with law and recent court decisions, which at present
      state that persons electing to pay a service fee cannot be required to pay for
      costs incurred by the Association which are not related to the costs of col-
      lective bargaining or other activities reasonably employed to effectuate the
      duties of CSEA as the exclusive representative, the Association has developed
      an ‘‘Advance Rebate’’ program. (Refer to Association Policy 1004.)



5–4                                                                      October 2006
     We will not go into the details of this program here, since procedures are
fully outlined in Association Policy 1004, and all fair share service fee pay-
ers receive notice of the rebate program each year from CSEA Headquarters.
This annual notice contains specific, detailed information about the basis on
which the rebates are calculated and how they will be paid, and specific instruc­
tions and deadlines for filing the required written objections in order to obtain
the rebate.
     However, a simple, brief explanation is that each service fee payer who
has filed a written notice objecting to paying for services not related to col-
lective bargaining, in accordance with Policy 1004 requirements, will receive
a rebate of a percentage of the total amount of fees required to be paid for
each fiscal year. This ‘‘Advance Rebate Percentage’’ is that portion of service
fees which will be collected in the new fee year (September 1 through August
31) which CSEA is not entitled to retain over objection. Normally (barring
the need to arbitrate the calculation of the rebateable amount), the ‘‘Advance
Rebates’’ are paid to objectors. Thus even though the fee payer will have the
regular amount of fees deducted each month, s/he will have already received
what amounts to a reduction in fees through the ‘‘Advance Rebate’’ program.
     We reiterate, that since the advance rebate is calculated based on total
service fees to be paid for the entire year, service fee payers must continue
to pay the full service fee chargeable under CSEA’s Bylaws each month.

Chapter rebates
     It should be noted that when a chapter charges a chapter service fee
(chapter portion of dues) to fair share service fee payers, the chapter itself is
not then required to provide a chapter rebate. When a fair share service fee
payer files the proper objection under Policy 1004, CSEA includes the total
of both Association fees and chapter fees in calculating the advance rebates
paid.
     As discussed above, prior to collecting a chapter fee from new-members,
the chapter must present all required documentation to CSEA Headquarters
and get written approval from the Executive Director or his/her designee.


hudSON NOTICES
     As per policy 1004, the Association sends a Hudson Notice to current fee
payers on an annual basis. Hudson Notices are also sent to any new hire and
to anyone who has changed their status to Fair Share Service Fee Payer.
     Hudson notices inform fee payers of the following:
    ➤ CSEA’s chargeable percentage for the fiscal year (which is the por-
        tion of fees which are related to representational activities of the
        union)
    ➤ the basis on which it was calculated
     Hudson notices give fee payers an opportunity to object to the non-charge-
able portion of the fee and challenge the percentage before an arbitrator.
      Questions regarding these requirements should be directed to the CSEA
Chief Counsel at CSEA Headquarters in San Jose.



October 2006                                                                        5–5
      whO TO aSK If YOu haVE quESTIONS
      abOuT fEE paYErS
           Although your contract may contain provisions relating to service fee
      payers and religious objectors, the chapter and the Association are also bound
      by state and federal laws and court interpretations of these laws. If you have
      questions concerning SB1960 or your contract provisions, contact your labor
      relations representative. Contact the Executive Department at CSEA Head-
      quarters for information relating to CSEA’s rebate of fees to fair share service
      fee payers. CSEA’s Legal Department, San Jose Headquarters, provides infor-
      mation regarding how to collect a chapter fee from non-members.




5–6                                                                     October 2006
                                                 CALIFORNIA SCHOOL EMPLOYEES ASSOCIATION
                                                               Service Fee Payer Information
                                                                  (For Chapter Treasurer Use Only)


PLEASE PRINT                                                                                                                       Chapter Number ______________________
                                                                                                                                 Employee Number ______________________

____________________________________________________________________________________________             DOB |_______|_______|_______|         Female           Male
Last Name                                      First Name                             MI                          Mo      Day     Yr

_________________________________________________________________________________________________________________________________              (_________)______________________
Street Address                                        City                                           State             Zip                                Home Telephone

__________________   ____________________________________________________          ____________________________________________________        (_________)______________________
Date of Hire          District/Employer                                            Work Site                                                             Work Telephone

Please check one:        9 Month Employee         10 Month Employee           11 Month Employee          12 Month Employee         Other ____________________________________

Hours worked per week __________            Hours worked per month __________                Hourly rate __________             Full-time         Part-time

Job Classification Code: (check one)

     1. operations   2. maintenance    3. office & technical     4. food service     5. transportation    6. paraprofessional    7. data processing     8. security/peace officer

First Salary Deduction Effective Payroll Date (Mo/Yr) _______________________                            Number of Payroll Deductions per each School Year ______________
                                                                                                           1. Monthly CSEA Dues                       $_____________________
Annual Salary $___________________
                                                                                                           2. Monthly Chapter Dues                    $_____________________
                                                                                                           3. Other Deductions                        $_____________________
                                                                                                                                                      $_____________________
                                                                                                                                                      $_____________________
                                                                                                                                                      $_____________________
Date _____________________________       Treasurer's Initials_________________                             4. TOTAL CSEA DEDUCTIONS                   $_____________________



                                                                             Headquarter’s Copy                                                                 F-1072-97




                                                 CALIFORNIA SCHOOL EMPLOYEES ASSOCIATION
                                                               Service Fee Payer Information
                                                                  (For Chapter Treasurer Use Only)


PLEASE PRINT                                                                                                                       Chapter Number ______________________
                                                                                                                                 Employee Number ______________________

____________________________________________________________________________________________             DOB |_______|_______|_______|         Female           Male
Last Name                                      First Name                             MI                          Mo      Day     Yr

_________________________________________________________________________________________________________________________________              (_________)______________________
Street Address                                        City                                           State             Zip                                Home Telephone

__________________   ____________________________________________________          ____________________________________________________        (_________)______________________
Date of Hire          District/Employer                                            Work Site                                                             Work Telephone

Please check one:        9 Month Employee         10 Month Employee           11 Month Employee          12 Month Employee         Other ____________________________________

Hours worked per week __________            Hours worked per month __________                Hourly rate __________             Full-time         Part-time

Job Classification Code: (check one)

     1. operations   2. maintenance    3. office & technical     4. food service     5. transportation    6. paraprofessional    7. data processing     8. security/peace officer

First Salary Deduction Effective Payroll Date (Mo/Yr) _______________________                            Number of Payroll Deductions per each School Year ______________
                                                                                                           1. Monthly CSEA Dues                       $_____________________
Annual Salary $___________________
                                                                                                           2. Monthly Chapter Dues                    $_____________________
                                                                                                           3. Other Deductions                        $_____________________
                                                                                                                                                      $_____________________
                                                                                                                                                      $_____________________
                                                                                                                                                      $_____________________
Date _____________________________       Treasurer's Initials_________________                             4. TOTAL CSEA DEDUCTIONS                   $_____________________

            October 2006                                                                                                                                                    5–7
                                                                             Headquarter’s Copy                                                                 F-1072-97
5–   October 2006

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:69
posted:10/11/2012
language:English
pages:110