SEIU Local 668 Membership Form (PLRB)
You and your fellow members elect the leadership of Local 668, who determine the strategic plan of the union, set the policies and budget that governs all union activity. Through popular vote, we choose two statewide officers, three trustees, chapter chairs, committee chairs and shop stewards. The rules and regulations that govern our union are outlined in the SEIU 668 Constitution. All members vote to accept or reject their contracts, which include decisions on: wages; medical, dental and vision insurance; retirement; working conditions; vacation policies; health and safety in the workplace; and career/professional development.
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Do you wish to receive periodic text messages from SEIU Local 668? By checking "Yes," I understand that SEIU and its locals and affiliates may use automated calling technologies and/or text message me on my cellular phone on a periodic basis. SEIU will never charge for text message alerts. Carrier message and data rates may apply to such alerts. Text STOP to 787753 to stop receiving messages. Text HELP to 787753 for more information.
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Date of Birth
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Gender - Select one of the options below, or share a word that reflects your internal sense of gender: e.g. Non-binary
Male
Female
Other
Do you work for the Commonwealth of Pennsylvania?
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No
What state agency do you work for?
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Department of Aging
Department of Community and Economic Development
Department of Corrections
Department of Education
Department of Health
Human Relations Commission
Office of Inspector General
Juvenile Court Judges Commission
Department of Labor and Industry
Department of Military and Veterans Affairs
Department of Human Services
Pennsylvania State System of Higher Education
Department of Aging
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Headquarters
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Department of Community and Economic Development
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Headquarters
Not listed / Not sure
Department of Corrections
*
Please select one of the options below
Corrections - CAM CNSLNG
Corrections - CAM DEP FOR CTRLZD SRVS
Corrections - CAM DIAG UNIT
Corrections - CAM DRG AND ALCHL
Corrections - CAM PSYCY
Corrections - CMY CORR CTR RGN 1 DIR OFF
Corrections - CMY CORR CTR RGN 2 DIR OFF
Corrections - CMY CORR CTR RGN 3 DIR OFF
Corrections - COR MBC AT QUEHANNA
Corrections - CORR INSTS AD
Corrections - Bureau of Community Corrections - Erie
Corrections - Bureau of Community Corrections - Harrisburg
Corrections - Bureau of Community Corrections - Johnstown
Corrections - LAU AD
Corrections - Bureau of Community Corrections - Philadelphia 2
Corrections - Bureau of Community Corrections - Philadelphia 4
Corrections - Phoenix Treatment Services
Corrections - Bureau of Community Corrections - Pittsburgh
Corrections - Progress Community Corrections Center
State Correctional Institution--Albion
State Correctional Institution--Benner Township
State Correctional Institution--Cambridge Springs
State Correctional Institution--Chester
State Correctional Institution--Coal Township
State Correctional Institution--Dallas
State Correctional Institution--Fayette
State Correctional Institution--Forest
State Correctional Institution--Frackville
State Correctional Institution--Greene
State Correctional Institution--Houtzdale
State Correctional Institution--Huntingdon
State Correctional Institution--Mahanoy
State Correctional Institution--Mercer
State Correctional Institution--Munch
State Correctional Institution--Pine Grove
State Correctional Institution--Retreat
State Correctional Institution--Rockview
State Correctional Institution--Smithfield
State Correctional Institution--Waymart
Scranton Community Corrections Center
CR SMR AD
Wernersville Community Corrections Center
York Community Corrections Center
Not listed / Not sure
Department of Education
*
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ED DIV OF FD AND NTRTN
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Department of Health
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HL DIV QLTY ASSUR PRGM INTGRTY
HL DIV RGNL TRTRY COORDNTN
Not listed / Not sure
Department of Human Services
*
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County Assistance Office--Adams
County Assistance Office--Allegheny (Alle-Kiski)
County Assistance Office--Allegheny (Greater Pittsburgh East)
County Assistance Office--Allegheny (HQ)
County Assistance Office--Allegheny (IRed)
County Assistance Office--Allegheny (Liberty)
County Assistance Office--Allegheny (Southeast)
County Assistance Office--Allegheny (Station)
County Assistance Office--Allegheny (Three Rivers)
County Assistance Office--Armstrong
County Assistance Office--Beaver
County Assistance Office--Bedford
County Assistance Office--Berks
County Assistance Office--Blair
County Assistance Office--Bradford
County Assistance Office--Bucks
HS BUR CMY SRVS
HS BUR EMPMT PRGMS
HS BUR JUV JUS SRVS
Bureau of Juvenile Justice Services Central Region
Bureau of Juvenile Justice Services Central Region
Bureau of Juvenile Justice Services Central Region
Bureau of Juvenile Justice Services Eastern Region
Bureau of Juvenile Justice Services Eastern Region
County Assistance Office--Butler
County Assistance Office--Cambria
County Assistance Office--Cameron
County Assistance Office--Carbon
County Assistance Office--Centre
County Assistance Office--Chester
HS CHLD SPT FL HBG
HS CHLD SPT FL PHILA
HS CHLD SPT FL PITTS
County Assistance Office--Clarion
Clarks Summit State Hospital
County Assistance Office--Clearfield
County Assistance Office--Clinton
County Assistance Office--Columbia
County Assistance Office--Crawford
HS CTRL RGN
HS CTRL RGNL OFF CD
HS CUMBERLAND CAO HDQ
HS DANVILLE ST HOSP
HS DAUPHIN CAO HDQ
HS DAUPHIN CAO HDQ
HS DELA CAO CROSBY DSTR
HS DELAWARE CAO DARBY
HS DELAWARE CAO HDQ
HS DEP SEC INC MNTNC
HS DIV CORRECTIVE ACTN
HS DIV CTRL OP
HS DIV LCNSNG OP
HS DIV OP
HS DIV QLTY CONT
HS DIV SPC OIM PRGMS
HS DIV THIRD PRTY LIAB
DHS State Center--Ebensburg
County Assistance Office--Elk
County Assistance Office--Erie
County Assistance Office--Fayette
County Assistance Office--Forest
County Assistance Office--Franklin
County Assistance Office--Fulton
County Assistance Office--Greene
County Assistance Office--Huntingdon
County Assistance Office--Indiana
County Assistance Office--Jefferson
County Assistance Office--Juniata
County Assistance Office--Lackawanna
County Assistance Office--Lancaster
County Assistance Office--Lawrence
County Assistance Office--Lebanon
County Assistance Office--Lehigh
County Assistance Office--Luzerne (Hazleton)
County Assistance Office--Luzerne (HQ)
County Assistance Office--Lycoming
County Assistance Office--McKean
County Assistance Office--Mercer
County Assistance Office--Mifflin
County Assistance Office--Monroe
County Assistance Office- Pottstown
County Assistance Office- Montgomery HQ
County Assistance Office Montour HQ
Norristown State Hospital
County Assistance Office Northampton
Northumberland County Assistance Office HO
HS NRTHEST RGN
HS NRTHEST RGNL OFF CD
Customer Service Center--Allegheny
Customer Service Center--Blair
Processing Center--Blair
Processing Center--Butler
Processing Center--Cambria
Processing Center--Clearfield
Processing Center--Columbia
Processing Center--Danville
Customer Service Center--Fayette
Processing Center--Fayette
Customer Service Center--Lancaster
Processing Center--Lycoming
Processing Center--Philadelphia (Marshall)
Customer Service Center--Philadelphia (Marketplace)
Customer Service Center--Philadelphia (South)
Customer Service Center--Pottstown
Processing Center--Somerset
Customer Service Center--Westmoreland
County Assistance Office--Perry
County Assistance Office--Philadelphia (Boulevard)
County Assistance Office--Philadelphia (Chelten)
HS PHILA CAO CTRL CLER
HS PHILA CAO DAP
HS PHILA CAO DEL SRVS
County Assistance Office--Philadelphia (Delancey)
County Assistance Office--Philadelphia (Elmwood)
County Assistance Office--Philadelphia (Glendale)
County Assistance Office--Philadelphia (HQ)
County Assistance Office--Philadelphia (Liberty)
County Assistance Office--Philadelphia (LIHEAP)
HS PHILA CAO NRSNG HM
County Assistance Office--Philadelphia (Ridge)
County Assistance Office--Philadelphia (Somerset)
County Assistance Office--Philadelphia (South)
County Assistance Office--Philadelphia (Unity)
County Assistance Office--Philadelphia (West)
County Assistance Office--Pike
DHS State Center--Polk
County Assistance Office--Potter
County Assistance Office--Schuylkill
Selinsgrove Center health Services Non Med
Selinsgrove Center Program Services
County Assistance Office--Snyder
South Mountain Restoration Center
County Assistance Office--Somerset (County)
OCDEL--Northern Regional Office
HS STHEST RGN
OCDEL--Southern Regional Office
County Assistance Office--Sullivan
County Assistance Office--Susquehanna
County Assistance Office--Tioga
Torrance State Hospital
County Assistance Office--Union
County Assistance Office--Venango
County Assistance Office--Warren
Warren State Hospital
County Assistance Office--Washington (Main Office)
County Assistance Office--Washington (Valley Office)
County Assistance Office--Wayne
Wernersville State Hospital
County Assistance Office--Westmoreland
DHS State Center--White Haven
Human Services Western Region
OCDEL--Western Regional Office
County Assistance Office--Wyoming
County Assistance Office--York
Not listed / Not sure
Department of Labor and Industry
*
Please select one of the options below
Apprenticeship Training Office
Bureau of Blindness and Visual Services--Altoona
Bureau of Blindness and Visual Services--
Bureau of Blindness and Visual Services--Erie
Bureau of Blindness and Visual Services--Harrisburg
Bureau of Blindness and Visual Services--Philadelphia
Bureau of Blindness and Visual Services--Pittsburgh
Bureau of Blindness and Visual Services--Wilkes-Barre
Bureau of Disability Determination--
Bureau of Disability Determination--Greensburg
Bureau of Disability Determination--Harrisburg
Bureau of Disability Determination--Wilkes-Barre
LI BUR WRKFC PTNRSHP OP DIR OFF
Bureau of Vocational Rehabilitation Services Allentown District Office
Bureau of Vocational Rehabilitation Services Altoona District Office
Bureau of Vocational Rehabilitation Services Dubois District Office
Bureau of Vocational Rehablitation Erie District Office
Bureau of Vocational Rehabilitation Harrisburg District Office
Bureau of Vocational Rehabilitation Johnstown District Office
Bureau of Vocational Rehabilitation New Castle District Office
Bureau of Vocational Rehabilitation Norristown District Office
Bureau of Vocational Rehabilitation Philadelphia District Office
Bureau of Vocational Rehabilitation Pittsburgh District Office
Bureau of Vocational Rehabilitation Reading District Office
Bureau of Vocational Rehabilitation Washington District Office
Bureau of Vocational Rehabilitation Wilkes Barre District Office
Bureau of Vocational Rehabilitation Williamsport District Office
Bureau of Vocational Rehabilitation York District Office
LI BWDA DIR OFF
LI BWDA GRT FSCL SRVS DIV
LI BWPO QLTY ASSUR DIV
LI BWPO ST OP DIV
Hiram G Andrews Center Allied Health Services
Hiram G Andrews Center Student Services
LI OUCTS ADMV & PRGM SPRT DIV
LI OUCTS CTRL OP DIV
LI OUCTS DTA AND FD MGMT
LI OUCTS EMP ACCT SVCS
LI OUCTS EMPR CNTC CTR
LI OUCTS FAS AD
LI OUCTS FAS DIV
LI OUCTS REG DOC MGMT
LI OVR RCO STUDENT LIFE
Career Link--Adams County
Career Link--Alle-Kiski
Career Link--Allegheny East
Career Link--Armstrong County
Career Link--Beaver County
Career Link--Bedford County
Career Link--Berks County
Career Link--Blair County
Career Link--Bradford and Sullivan Counties
Career Link--Bucks County
Career Link--Butler County
Career Link--Cambria County
Career Link--Capital Region (Dauphin County)
Career Link--Carbon County
Career Link--Centre County (State College)
Career Link--Chester County (Coatesville)
Career Link--Clearfield County (Clearfield)
Career Link--Clearfield County (DuBois)
Career Link--Clinton County
Career Link--Columbia County
Career Link--Cumberland County
Career Link--Delaware County (Chester City)
Career Link--Elk County
Career Link--Erie County
Career Link--Fayette County
Career Link--Franklin County
Career Link--Greene County
Career Link--Huntingdon County
Career Link--Indiana County
Career Link--Jefferson County
Career Link--Lackawanna County
Career Link--Lancaster County
Career Link--Lawrence County
Career Link--Lebanon County
Career Link--Lehigh Valley (Allentown)
Career Link--Luzerne County (Hazleton)
Career Link--Luzerne County (Wilkes-Barre)
Career Link--Lycoming County
Career Link--McKean County
Career Link--Mercer County
Career Link--Mifflin County
Career Link--Monroe Valley
Career Link--Monroe County
Career Link--Montgomery County
Career Link--Oil City
Career Link--Philadelphia Suburban Station
Career Link--Philadelphia North
Career Link--Philadelphia North West
Career Link--Philadelphia West
Career Link--Allegheny County (Pittsburgh)
Career Link--Potter County
Career Link--SChuylkill County (Pottsville)
Career Link--Somerset County
Career Link--Tioga County
Career Link--Washington County
Career Link--Westmoreland County (Youngwood)
Career Link--York County
Career Link--Northumberland/Snyder/Union Counties
LI UC BEN PLCY DIRS OFF
LI UC BEN PLCY UC PLCY & QLTY ASSUR DIV
LI UC BEN UC PRGMS DIV
LI UC SERV CTR FL OP DIV
LI UC SERV CTR UC SPT OP DIV
LI UC SERV CTRS ALLENTOWN
Unemployment Compensation Service Center--Altoona
Unemployment Compensation Service Center--Duquesne
Unemployment Compensation Service Center--Erie
Unemployment Compensation Service Center--Indiana
Unemployment Compensation Service Center--Lancaster
Unemployment Compensation Service Center--Scranton
LI UCB AND A UNEMP INS PRGM
Unemployment Compensation Benefits Referee--Bethlehem
Unemployment Compensation Benefits Referee--Bristol
Unemployment Compensation Benefits Referee--Erie
Unemployment Compensation Benefits Referee--Greensburg
Unemployment Compensation Benefits Referee--Harrisburg
Unemployment Compensation Benefits Referee--Hermitage
Unemployment Compensation Benefits Referee--Johnstown
Unemployment Compensation Benefits Referee--Kinf of Prussia
Unemployment Compensation Benefits Referee--Lancaster
Unemployment Compensation Benefits Referee--Oil City
Unemployment Compensation Benefits Referee--Philadelphia
Unemployment Compensation Benefits Referee--Pittsburgh
Unemployment Compensation Benefits Referee--Reading
Unemployment Compensation Benefits Referee--Scranton
Unemployment Compensation Benefits Referee--Springfield
Unemployment Compensation Benefits Referee--Wilkes-Barre
Unemployment Compensation Benefits Referee--Williamsport
MV BUS OFF DVH
MV BUS OFF GJMVC
MV BUS OFF HOLLIDAYSBURG
MV BUS OFF SEVC
MV BUS OFF SOLDIERS SAILORS
MV BUS OFF SWVC
MV COMDNTS OFF SEVC
MV COMDNTS OFF SWVC
MV NRSG DVH
MV NRSG GJMVC
MV NRSG HOLLIDAYSBURG
MV NRSG SEVC
MV NRSG SOLDIERS SAILORS
MV NRSG SWVC
Not listed / Not sure
Department of Military and Veterans Affairs
*
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Headquarters
Not listed / Not sure
Human Relations Commission
*
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Pennsylvania Human Relations Commission--Pittsburgh
Pennsylvania Human Relations Commission--Harrisburg
Pennsylvania Human Relations Commission--Philadelphia
Not listed / Not sure
Juvenile Court Judges Commission
*
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Headquarters
Not listed / Not sure
Office of Inspector General
*
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EX OIG FRD PRVNTN & PROSTN WESTERN RGN
EX OIG FRD PRVNTN & PROSTN CTRL RGN
EX OIG FRD PRVNTN & PROSTN NE RGN
EX OIG FRD PRVNTN & PROSTN SE RGN
EX OIG OP SPT DIV
Not listed / Not sure
Pennsylvania State System of Higher Education
*
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Headquarters
Not listed / Not sure
Employer
*
Please select one of the options below
Allegheny County
Allegheny County Community College
Archbald Borough
Armstrong County
Beaver County
Beaver Valley Job Training
Bedford County
Berks County
Berks Intermediate Unit
Blair County
Blakely Borough
Bucks County
Butler County
Cambria County
Carbon-Monroe-Pike MH/DS
Career Technology of Lackawanna County
Case Management Unit
Centre County
Chester County
Columbia-Montour Aging Office
Columbia Borough
Columbia County
Crawford County
Dauphin County
Delaware County
Dubois City
Erie County
Fayette County
Forest -Warren Human Services
Greene County
Harmar Township
Huntingdon School District
Indiana County
Indiana County Community Action
Indiana Township
Juniata County
Lackawanna County
Lackawanna County Housing Authority
Lackawanna County River Basin Sewer Authority
Lackawanna County Transit System
Lancaster County
Lehigh County
Mckean County
Mercer County
Monroe County
Monroeville Clerical
Montgomery County
Moosic Borough
North Braddock Borough
Northampton County
Northumberland County
Old Forge School District Clerical
Old Forge Borough
Old Forge School District Maintenance
Old Forge School District Teachers Aides
Olyphant Borough
Pittsburgh Recreation Teachers
Potter County
Rochester Borough
Schuylkill County
Scranton Public Library
Slatington Borough
Stairways
State System of Higher Education
Susquehanna Township
Taylor Borough
Thaddeus Stevens College of Technology
Venango County
Washington City
Washington County
West Deer Township
West Hazleton Borough
Westmoreland County
Wilkinsburg Borough
Wyoming County
York County
Not Listed
Please fill in the name of your employer
*
Please fill in the name of your worksite
*
Worksite - Allegheny County
*
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ALG CO 911
ALG. CO 1701 ROW OFFICE-#3-CONTROLLER DEPT 70
ALG. CO 1701 ROW OFFICE-#3-TREASURER DEPT 72
ALG. CO 202 CYF-#3
ALG. CO 202 PROPERTY & SUPPLIES SRVS.-#3
ALG. CO 202 SHUMAN CENTER-#3 DEPT 32
ALG. CO 701 CL/TECH-#3-911
ALG. CO 701 CL/TECH-#3-AGING
ALG. CO 701 CL/TECH-#3-ASSESSORS
ALG. CO 701 CL/TECH-#3-C&Y-CH/YTH/FAM/SRV.
ALG. CO 701 CL/TECH-#3-COMMUNITY SRVS.
ALG. CO 701 CL/TECH-#3-COMPUTER SRVS.
ALG. CO 701 CL/TECH-#3-ELECTIONS
ALG. CO 701 CL/TECH-#3-HEALTH DEPT 27
ALG. CO 701 CL/TECH-#3-HEALTH DEPT 27/ GENERAL OFFICE
ALG. CO 701 CL/TECH-#3-HEALTH DEPT 27/CLACK (AIR QUALITY) BLDG 7
ALG. CO 701 CL/TECH-#3-HEALTH DEPT 27/CLACK (PDW & PLBG) BLDG 5
ALG. CO 701 CL/TECH-#3-HEALTH DEPT 27/CLACK BLDG 8
ALG. CO 701 CL/TECH-#3-HEALTH DEPT 27/CLACK BLDG. 1
ALG. CO 701 CL/TECH-#3-HEALTH DEPT 27/HOSANNA HOUSE
ALG. CO 701 CL/TECH-#3-HEALTH DEPT 27/MED. EXAM - FORBES AVE
ALG. CO 701 CL/TECH-#3-HEALTH DEPT 27/NUTRITION/WIC
ALG. CO 701 CL/TECH-#3-HEALTH DEPT 27/NUTRITION/WIC/MCKEESPORT
ALG. CO 701 CL/TECH-#3-HEALTH DEPT 27/NUTRITION/WIC/MT. OLIVER
ALG. CO 701 CL/TECH-#3-HEALTH DEPT 27/NUTRITION/WIC/SOUTH HILLS
ALG. CO 701 CL/TECH-#3-HEALTH DEPT 27/STRIP COMMERCE (HOUSING)
ALG. CO 701 CL/TECH-#3-HUMAN SERVICES DEPT 25
ALG. CO 701 CL/TECH-#3-ID TECHS
ALG. CO 701 CL/TECH-#3-JAIL DEPT 30
ALG. CO 701 CL/TECH-#3-MHID/D&A
ALG. CO 701 CL/TECH-#3-PARKS DEPT 37
ALG. CO 701 CL/TECH-#3-POLICE DEPT 31
ALG. CO 701 CL/TECH-#3-PUBLIC WORKS DEPT 35
ALG. CO 701 CL/TECH-#3-REAL ESTATE DEPT 21
ALG. CO 701 CL/TECH-#3-SHUMAN SUPPORT SRVS.
ALG. CO 701 CL/TECH-#3-TELE/REC/GRAPH/MAIL
ALG. CO 905 COURT REL-#3-COURT RECORDS DEPT 18
ALG. CO 905 COURT REL-#3-D.A. DEPT 73
ALG. CO 905 COURT REL-#3-MEDICAL EXAM DEPT 17
ALG. CO 905 COURT REL-#3-PUBLIC DEFENDERS DEPT 14
ALG. CO 905 COURT REL-#3-SHERIFF'S DEPT 71
ALG. CO FIRST LEVEL SUPS-#3
ALG. CO FIRST LEVEL SUPS-#3-HUMAN SRVS.
ALG. CO UNKNOWN WORK LOCATION
CCAC-AL #3
CCAC-BO-#3
CCAC-CO-#3
CCAC-NO-#3
CCAC-SO-#3
CCAC BHC #3
CCAC CALU #4
CCAC EIC #3
CCAC WHC #3
Not listed / Not sure
Please fill in the name of your work location in Allegheny County
*
Worksite - Allegheny County Community College
*
Please select one of the options below
CCAC-AL #3
CCAC-BO-#3
CCAC-CO-#3
CCAC-NO-#3
CCAC-SO-#3
CCAC BHC #3
CCAC CALU #4
CCAC EIC #3
CCAC WHC #3
Not listed / Not sure
Please fill in the name of your work location at Allegheny County Community College
*
Worksite - Archbald Borough
*
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ARCHBALD BORO-#14
Not listed / Not sure
Please fill in the name of your work location in Archbald Borough
*
Worksite - Armstrong County
*
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ARMSTRONG CO CYS PROFESSIONALS-#2
Not listed / Not sure
Please fill in the name of your work location in Armstrong County
*
Worksite - Beaver County
*
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BEAVER CO AGING #2
BEAVER CO BEHAV. HLTH. & DEVELOP. SVCS.-#2
BEAVER CO C&Y-#2
BEAVER CO COMM.RESIDUAL-NP-#2
BEAVER CO COMM.RESIDUAL NP-911-#2
BEAVER CO COMM.RESIDUAL NP-JUV.DET-#2
BEAVER CO COURT APPOINTED-NP-#2
BEAVER CO COURT APPOINTED-PRO-#2
BEAVER CO COURT RELATED-NP-#2
BEAVER CO JAIL GUARDS-#2
BEAVER CO UNKNOWN WORK LOCATION
Not listed / Not sure
Please fill in the name of your work location in Beaver County
*
Worksite - Beaver Valley Job Training
*
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BEAVER JOB TRAINING-#2
Not listed / Not sure
Please fill in the name of your work location at Beaver Valley Job Training
*
Worksite - Bedford County
*
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BEDFORD CO DOM. RELATIONS-#5
BEDFORD CO MDJ BAKER-#5
BEDFORD CO MDJ BINGHAM-#5
BEDFORD CO MDJ CALHOUN-#5
BEDFORD CO MDJ OSMAN-#5
BEDFORD CO P&P -#5
BEDFORD CO UNKNOWN WORK LOCATION
Not listed / Not sure
Please fill in the name of your work location in Bedford County
*
Worksite - Berks County
*
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BERKS CO C&Y-#9
BERKS CO PRISON-#9
Not listed / Not sure
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*
Worksite - Berks Intermediate Unit
*
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BERKS IU-#9
Not listed / Not sure
Please fill in the name of your work location at Berks Intermediate Unit
*
Worksite - Blair County
*
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BLAIR CO C&Y-#5
BLAIR CO DISTRICT ATTORNEYS-#5
BLAIR CO MAINTENANCE-#5
BLAIR CO PUBLIC DEFENDERS-#5
Not listed / Not sure
Please fill in the name of your work location in Blair County
*
Worksite - Blakely Borough
*
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BLAKELY BORO-#14
Not listed / Not sure
Please fill in the name of your work location in Blakely Borough
*
Worksite - Bucks County
*
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BUCKS CO 911 SUPS 45 - #11
BUCKS CO AGING 04 R&F #11
BUCKS CO AGING 84 SUPS #11
BUCKS CO BOARD OF ASSESSMENT 44 SUPS - #11
BUCKS CO BOARD OF ASSESSMENT 46 R&F #11
BUCKS CO C&Y WTN 04 R&F #11
BUCKS CO C&Y WTN 84 SUPS #11
BUCKS CO DOM REL 07 R&F - #11
BUCKS CO HEALTH DEPT ADMIN 44 R&F #11
BUCKS CO HEALTH DEPT ADMIN 45 SUPS #11
BUCKS CO HEALTH DEPT ADMIN 46 R&F #11
BUCKS CO INFORMATION SVCS 46 R&F #11
BUCKS CO MHDP 04 - #11
BUCKS CO MHDP 84 - #11
BUCKS CO NESHAMINY MANOR DIETARY 44 SUPS - #11
BUCKS CO NESHAMINY MANOR SERVICES 46 R&F #11
BUCKS CO P&P ADULT 07 - #11
BUCKS CO P&P JUV 07 - #11
BUCKS CO PARKS & REC 44 SUPS #11
BUCKS CO PARKS & REC 46 R&F #11
BUCKS CO PLANNING COMMISSION 45 SUPS #11
BUCKS CO PLANNING COMMISSION 46 R&F #11
BUCKS CO PRISON 46 R&F #11
BUCKS CO UNKNOWN WORK LOCATION
BUCKS CO YOUTH CENTER 70 R&F - #11
Not listed / Not sure
Please fill in the name of your work location in Bucks County
*
Worksite - Butler County
*
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BUTLER CO AGING COMM. RESIDUAL PRO #2
BUTLER CO C&Y COMM.RESIDUAL-PRO-#2
BUTLER CO COMM.RESIDUAL-NP-ADM/CL/TECH#2
BUTLER CO COMM.RESIDUAL NP-911-#2
BUTLER CO COURT APPOINTED-CLER/TECH-NP-#2
BUTLER CO COURT APPOINTED JUV PROB-PRO-#2
BUTLER CO COURT RELATED-CLER/TECH-NP-#2
BUTLER CO D&A COMM.RESIDUAL PRO-#2
BUTLER CO MHID COMM. RESIDUAL PRO-#2
BUTLER CO UNKNOWN WORK LOCATION
Not listed / Not sure
Please fill in the name of your work location in Butler County
*
Worksite - Cambria County
*
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CAMBRIA CO-PRO-IS-2D-#5
CAMBRIA CO ADULT PROBATION-NP-2H-#5
CAMBRIA CO AGING-NP-2C-#5
CAMBRIA CO AGING-PRO-2D-#5
CAMBRIA CO AGING-SP-2E-#5
CAMBRIA CO C&Y-NP-2C-#5
CAMBRIA CO C&Y-PRO-2D-#5
CAMBRIA CO C&Y-SNP-2F-#5
CAMBRIA CO C&Y-SP-2E-#5
CAMBRIA CO CLERK OF COURTS-NP-2A-#5
CAMBRIA CO COURTS-NP-2A-#5
CAMBRIA CO D&A-NP-2C-#5
CAMBRIA CO D&A-PRO-2D-#5
CAMBRIA CO DISTRICT ATTORNEY-NP-2A-#5
CAMBRIA CO DISTRICT ATTORNEY-PRO-2B-#5
CAMBRIA CO DOMESTIC RELATIONS-NP-2H-#5
CAMBRIA CO JUVENILE PROBATION-NP-2H-#5
CAMBRIA CO MAGISTRATE-NP-2H-#5
CAMBRIA CO MHMR NP-2C-#5
CAMBRIA CO MHMR PRO-2D-#5
CAMBRIA CO MHMR SP-2E-#5
CAMBRIA CO PROTHONOTARY-NP-2A-#5
CAMBRIA CO PUBLIC DEFENDER-PRO-2B-#5
CAMBRIA CO REGISTER OF WILLS-NP-2A-#5
CAMBRIA CO SHERIFF'S OFFICE-NP-2A-#5
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Worksite - Carbon-Monroe-Pike MH/DS
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CARBON-MONROE-PIKE MH/DS (126)
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Worksite - Career Technology of Lackawanna County
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LACKAWANNA COUNTY CAREER TECH CENTER-#14
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Worksite - Case Management Unit
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CMU-#8
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Worksite - Centre County
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CENTRE CO PRISON-#7
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Worksite - Chester County
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CHESTER CO COURT APPOINTED ADULT PROBATION-#10
CHESTER CO COURT APPOINTED DOMESTIC RELATIONS-#10
CHESTER CO COURT APPOINTED JUVENILE PROBATION-#10
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Worksite - Columbia-Montour Aging Office
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COLUMBIA-MONTOUR AGING #7
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Worksite - Columbia Borough
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COLUMBIA BOROUGH-#9
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Worksite - Columbia County
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COLUMBIA CO CORRECTIONAL FACILITY
COLUMBIA CO COURTHOUSE-#7
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Worksite - Crawford County
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CRAWFORD CO COMMISSIONERS RESIDUAL-#1
CRAWFORD CO COURT APPOINTED-#1
CRAWFORD CO COURT RELATED-#1
CRAWFORD CO PROFESSIONAL EMPLOYEES-#1
CRAWFORD CO UNKNOWN WORK LOCATION
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Worksite - Dauphin County
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DAUPHIN CO AGING #8
DAUPHIN CO C&Y-#8
DAUPHIN CO MHID-#8
DAUPHIN CO PRISON-#8
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Worksite - Delaware County
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DELAWARE CO C&Y-MEDIA-#10
DELAWARE CO C&Y-UPPER DARBY-#10
DELAWARE CO COURTS-ADULT PROBATION-#10
DELAWARE CO COURTS-DOMESTIC RELATIONS-#10
DELAWARE CO COURTS-JUVENILE PROBATION-#10
DELAWARE CO UNKNOWN WORK LOCATION
DELAWARE COUNTY C&Y-EDDYSTONE-#10
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Worksite - Dubois City
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DUBOIS CITY-#6
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Worksite - Erie County
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ERIE CO C&Y-#1
ERIE CO C&Y SUPERVISOR-#1
ERIE CO PRISON-#1
ERIE CO UNKNOWN WORK LOCATION
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Worksite - Fayette County
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FAYETTE CO C&Y-#4
FAYETTE CO CA-I-ADULT PROB #4
FAYETTE CO CA-I-DIST MAGISTRATES #4
FAYETTE CO CA-I-DOMESTIC REL #4
FAYETTE CO COMMISSIONER'S RESIDUAL-#4
FAYETTE CO COURT APPOINTED-#4
FAYETTE CO COURT RELATED-#4
FAYETTE CO CR-II-BEHAVIORAL HEALTH #4
FAYETTE CO CR-II-BRIDGE DEPT #4
FAYETTE CO CR-II-BUILDING & GROUNDS #4
FAYETTE CO CR-II-DISTRICT ATTY #4
FAYETTE CO CR-II-ELECTIONS #4
FAYETTE CO CR-II-EM 911 #4
FAYETTE CO CR-II-FACT #4
FAYETTE CO CR-II-OCED PLANNING #4
FAYETTE CO CR-II-PUBLIC DEF #4
FAYETTE CO CR-II-RECORDS #4
FAYETTE CO CR-II-TAX ASSESSMENT #4
FAYETTE CO CR-II-TAX CLAIM #4
FAYETTE CO CR-II-VETERANS AFFAIRS #4
FAYETTE CO CR-III-JURY COMM #4
FAYETTE CO CTR-III-CLERK OF CTS #4
FAYETTE CO CTR-III-CONTROLLER #4
FAYETTE CO CTR-III-PROTHONOTARY
FAYETTE CO CTR-III-RECORDER OF DEEDS #4
FAYETTE CO CTR-III-REGISTER OF WILLS #4
FAYETTE CO CTR-III-SHERIFF #4
FAYETTE CO CTR-III-TREASURER #4
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Worksite - Forest-Warren Human Services
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FOREST / WARREN CO C&Y #6
FOREST / WARREN CO D&A #6
FOREST / WARREN CO MHID #6
FOREST / WARREN CO UNKNOWN
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Worksite - Greene County
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GREENE CO 911-#4
GREENE CO ADULT PROBATION-#4
GREENE CO CLERK OF COURTS-#4
GREENE CO COMMISSIONER'S RESIDUAL UNIT-NP-#4
GREENE CO COURT APPOINTED-NP-#4
GREENE CO COURT RELATED-NP-#4
GREENE CO CYS-#4
GREENE CO DAY CAMP-#4
GREENE CO DISTRICT ATTY-#4
GREENE CO DOM RELATIONS-#4
GREENE CO HUMAN RESOURCES-#4
GREENE CO MAINTENANCE-#4
GREENE CO MDJ BALINT-#4
GREENE CO PARKS & POOLS-#4
GREENE CO PRISON-#4
GREENE CO RECORDER OF DEEDS-#4
GREENE CO SHERIFF-#4
GREENE CO TAX CLAIM BUREAU-#4
GREENE CO TRANSPORTATION-#4
GREENE CO TREASURER-#4
GREENE CO UNKNOWN WORK LOCATION
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Worksite - Harmar Township
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HARMAR TOWNSHIP-#3
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Worksite - Huntingdon School District
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HUNTINGDON SCHOOL DISTRICT-#5
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Worksite - Indiana County
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INDIANA CO C&Y-#5
INDIANA CO COURT APPOINTED-#5
INDIANA CO PLANNING COMMISSION-#5
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Worksite - Indiana County Community Action
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INDIANA CO C&Y-#5
INDIANA CO COURT APPOINTED-#5
INDIANA CO PLANNING COMMISSION-#5
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Worksite - Indiana Township
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INDIANA TOWNSHIP-#3
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Worksite - Juniata County
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JUNIATA CO C&Y-#8
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Worksite - Lackawanna County
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LACKAWANNA CO ADULT PROBATION-#14
LACKAWANNA CO AGING #14
LACKAWANNA CO ASSESSORS-#14
LACKAWANNA CO CONTROLLER-#14
LACKAWANNA CO CORONER-#14
LACKAWANNA CO COURT COLLECTION-#14
LACKAWANNA CO D.A.-#14
LACKAWANNA CO D.A.-GRANTS-LUDET-#14
LACKAWANNA CO D.A. GRANTS-BOOKING-#14
LACKAWANNA CO D.A. GRANTS-VOCA #14
LACKAWANNA CO DOMESTIC REL.-#14
LACKAWANNA CO ECONOMIC DEVELOPMENT-#14
LACKAWANNA CO EMERGENCY 911 SERVICES-#14
LACKAWANNA CO HUMAN SERVICES-#14
LACKAWANNA CO INFORMATION TECHNOLOGY-#14
LACKAWANNA CO JUDICIAL REC-#14
LACKAWANNA CO JUV PROBATION-#14
LACKAWANNA CO MAINTENANCE-#14
LACKAWANNA CO PARKS & REC -#14
LACKAWANNA CO PERSONNEL-#14
LACKAWANNA CO PLANNING COMMISSION-#14
LACKAWANNA CO PUBLIC DEFENDER-#14
LACKAWANNA CO PURCHASING-#14
LACKAWANNA CO RECORDER OF DEEDS-#14
LACKAWANNA CO REGISTER OF WILLS-#14
LACKAWANNA CO ROADS & BRIDGES-#14
LACKAWANNA CO SOIL CONSERVATION DISTRICT-#14
LACKAWANNA CO TAX CLAIMS-#14
LACKAWANNA CO TREASURER-#14
LACKAWANNA CO TROLLEY MUSEUM-#14
LACKAWANNA CO UNKNOWN WORK LOCATION-#14
LACKAWANNA CO VETERANS AFFAIRS-#14
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Worksite - Lackawanna County Housing Authority
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LACKAWANNA COUNTY HOUSING AUTHORITY-#14
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Worksite - Lackawanna County River Basin Sewer Authority
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LACKAWANNA CO RIVER BASIN SEWER-CLERICAL-#14
LACKAWANNA CO RIVER BASIN SEWER-PLANT-#14
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Worksite - Lackawanna County Transit System
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COLTS - #14
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Worksite - Lancaster County
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LANCASTER CO C&Y-#9
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Worksite - Lehigh County
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LEHIGH CO C&Y R&F-#13
LEHIGH CO C&Y SUPS-#13
LEHIGH CO MHID R&F-#13
LEHIGH CO MHID SUPS-#13
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Worksite - McKean County
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MCKEAN CO 911-54-#6
MCKEAN CO C&Y-#6
MCKEAN CO C&Y 50 #6
MCKEAN CO COLLECTIONS-08-#6
MCKEAN CO CONTROLLER-03-#6
MCKEAN CO DHS-58-#6
MCKEAN CO MAINTENANCE-12-#6
MCKEAN CO PLANNING-11-#6
MCKEAN CO RECORDER OF DEEDS-10-#6
MCKEAN CO TAX CLAIM-04-#6
MCKEAN CO UNKNOWN WORK LOCATION
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Worksite - Mercer County
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MERCER CO C&Y-#2
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Worksite - Monroe County
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MONROE CO AGING - #13
MONROE CO C&Y - #13
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Worksite - Monroeville Clerical
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MONROEVILLE CLERICAL-#3
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Worksite - Montgomery County
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MCYC - MONTGOMERY CO. YOUTH CENTER-#11
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Worksite - Moosic Borough
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MOOSIC BORO-#14
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Worksite - North Braddock Borough
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NORTH BRADDOCK BORO-#3
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Worksite - Northampton County
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NORTHAMPTON CO AGING #13
NORTHAMPTON CO C&Y-#13
NORTHAMPTON CO D&A-#13
NORTHAMPTON CO MHMR- #13
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Worksite - Northumberland County
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NORTHUMBERLAND CO AGING #7
NORTHUMBERLAND CO BHID-#7
NORTHUMBERLAND CO C&Y-#7
NORTHUMBERLAND CO D&A-#7
NORTHUMBERLAND CO UNKNOWN WORK LOCATION
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Worksite - Old Forge School District Clerical
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OLD FORGE SD CLERICAL-#14
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Worksite - Old Forge Borough
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OLD FORGE BORO-#14
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Worksite - Old Forge School District Maintenance
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OLD FORGE SD MAINTENANCE-#14
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Worksite - Old Forge School District Teachers Aides
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OLD FORGE SD TEACHERS AIDES-#14
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Worksite - Olyphant Borough
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OLYPHANT BORO-#14
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Worksite - Pittsburgh Recreation Teachers
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PITTSBURGH RECREATION TEACHERS-#3
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Worksite - Potter County
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POTTER CO-#6
POTTER CO AGING #6
POTTER CO C&Y-#6
POTTER CO MHMR-#6
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Worksite - Rochester Borough
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ROCHESTER BOROUGH-#2
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Worksite - Schuylkill County
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SCHUYLKILL CO C&Y-#13
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Worksite - Scranton Public Library
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SCRANTON PUBLIC LIBRARY-#14
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Worksite - Slatington Borough
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SLATINGTON BORO-#13
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Worksite - Stairways
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STAIRWAYS-#1
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Worksite - State System of Higher Education
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STATE SYSTEM OF HIGHER ED - CLARION - #2
STATE SYSTEM OF HIGHER ED - INDIANA - #5
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Worksite - Susquehanna Township
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SUSQUEHANNA TOWNSHIP-#5
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Worksite - Taylor Borough
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TAYLOR BORO-#14
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Worksite - Thaddeus Stevens College of Technology
*
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THADDEUS STEVENS SCHOOL-#9
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Worksite - Venango County
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VENANGO CO-#2
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Worksite - Washington City
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WASHINGTON CITY-#4
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Worksite - Washington County
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WASHINGTON CO C&Y-#4
WASHINGTON CO COMMUNITY SERVICES/FITS-#4
WASHINGTON CO COURT APPOINTED-#4
WASHINGTON CO COURT RELATED-#4
WASHINGTON CO CT APPTD ADULT PROB #4
WASHINGTON CO CT APPTD COURT ADMIN #4
WASHINGTON CO CT APPTD DOMESTIC RELATIONS #4
WASHINGTON CO CT APPTD JUVENILE PROB #4
WASHINGTON CO CT APPTD MDJ HAVELKA #4
WASHINGTON CO CT APPTD MDJ HOPKINS #4
WASHINGTON CO CT APPTD MDJ KANALIS #4
WASHINGTON CO CT APPTD MDJ KEMP #4
WASHINGTON CO CT APPTD MDJ MARK #4
WASHINGTON CO CT APPTD MDJ PETTIT #4
WASHINGTON CO CT APPTD MDJ REDLINGER #4
WASHINGTON CO CT APPTD MDJ THOMPSON #4
WASHINGTON CO CT APPTD MDJ WARD #4
WASHINGTON CO CT APPTD MDJ WELLER #4
WASHINGTON CO CT APPTD MDJ WILSON #4
WASHINGTON CO CT APPTD RECORDS MGMT #4
WASHINGTON CO CT RELATED CLERK OF CTS #4
WASHINGTON CO CT RELATED DISTRICT ATTY #4
WASHINGTON CO CT RELATED PROTHONOTARY #4
WASHINGTON CO CT RELATED PUBLIC DEF #4
WASHINGTON CO CT RELATED REGISTER OF WILLS #4
WASHINGTON CO CT RELATED SHERIFF #4
WASHINGTON CO RESIDUAL - AGING #4
WASHINGTON CO RESIDUAL - CONTROLLER #4
WASHINGTON CO RESIDUAL - ELECTIONS #4
WASHINGTON CO RESIDUAL - HOUSEKEEPING #4
WASHINGTON CO RESIDUAL - JAIL ADMINISTRATION #4
WASHINGTON CO RESIDUAL - LIQUID FUELS #4
WASHINGTON CO RESIDUAL - MAINTENANCE #4
WASHINGTON CO RESIDUAL - MOTOR POOL #4
WASHINGTON CO RESIDUAL - PARKS #4
WASHINGTON CO RESIDUAL - PLANNING #4
WASHINGTON CO RESIDUAL - RECORDER OF DEEDS #4
WASHINGTON CO RESIDUAL - TAX REVENUE #4
WASHINGTON CO RESIDUAL - TREASURER #4
WASHINGTON CO RESIDUAL UNIT 911-#4
WASHINGTON CO UNKNOWN WORK LOCATION
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Worksite - West Deer Township
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WEST DEER TOWNSHIP-#3
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Worksite - West Hazleton Borough
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WEST HAZLETON BORO-#14
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Worksite - Westmoreland County
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WESTMORELAND CO RES.-#4-AGING
WESTMORELAND CO RES.-#4-CONTROLLER
WESTMORELAND CO RES.-#4-CORONER
WESTMORELAND CO RES.-#4-ELECTION BUREAU
WESTMORELAND CO RES.-#4-GEOG INFO SYSTEM
WESTMORELAND CO RES.-#4-INFO. SYSTEMS
WESTMORELAND CO RES.-#4-JUVENILE DETENTION
WESTMORELAND CO RES.-#4-JUVENILE SHELTER
WESTMORELAND CO RES.-#4-PARKS DEPT
WESTMORELAND CO RES.-#4-PRISON
WESTMORELAND CO RES.-#4-PUBLIC SAFETY 911
WESTMORELAND CO RES.-#4-PUBLIC WORKS
WESTMORELAND CO RES.-#4-PURCHASING
WESTMORELAND CO RES.-#4-RECORDER OF DEEDS
WESTMORELAND CO RES.-#4-RECORDS MGMT.
WESTMORELAND CO RES.-#4-ROADS & BRIDGES
WESTMORELAND CO RES.-#4-TAX ASSESSMENT
WESTMORELAND CO RES.-#4-TAX CLAIM BUREAU
WESTMORELAND CO RES.-#4-TREASURER
WESTMORELAND CO RES.-#4-VETERAN'S AFFAIRS
WESTMORELAND CO RES.-#4-WEIGHTS & MEAS.
WESTMORELAND CO UNKNOWN WORK LOCATION
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Worksite - Wilkinsburg Borough
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WILKINSBURG BORO-#3
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Worksite - Wyoming County
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WYOMING CO PRISON-#14
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Worksite - York County
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YORK CO AGING - DEPT79 - #9
YORK CO C&Y - DEPT40 - #9
YORK CO DOM. RELATIONS - DEPT55 - #9
YORK CO P&P-ADULT - DEPT32 - #9
YORK CO P&P-JUV - DEPT31 - #9
YORK/ADAMS CO D&A - DEPT26 - #9
YORK/ADAMS CO MH-IDD - DEPT28 - #9
YORK/ADAMS CO UNKNOWN WORK LOCATION
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Electronic Signature Agreement (I understand and accept that the electronic signatures appearing on this agreement are the same as handwritten signatures for the purposes of validity, enforceability and admissibility.) YES! I want to join my fellow employees and become a member of SEIU Local 668. I request and accept membership in SEIU Local 668 and I agree to abide by the SEIU Local 668 constitution and by-laws. I authorize SEIU Local 668 to act as my exclusive representative in collective bargaining over wages, benefits and other terms and conditions of employment with my employer. I understand that membership and dues deduction require separate authorizations. I also understand that dues deduction is a requirement for membership in SEIU Local 668 and that my financial obligations to SEIU Local 668 are governed by the provisions below.
Your Electronic Signature Here (Please Type)
*
Date Signed
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Voluntary Authorization: I request and voluntarily authorize my employer to deduct from my earnings and pay Local 668 an amount equal to local 668’s regular dues. This dues deduction authorization shall remain in effect, regardless ofwhether I remain a member of the Union, for a period of one year from the date of execution and will renewautomatically from year to year as long as my employment continues, unless I revoke it by providing notice toLocal 668 via U.S. mail within the 30-day period before the anniversary date of this agreement.I acknowledge that my dues deduction authorization is a contractual agreement between myself, as a bargaining unit employee, and SEIU Local 668, separate from any statutory provisions of Act 195. This authorization is not a condition of employment and I can decline to agree to it without reprisal. Dues, fees, and assessments to SEIU Local 668 are not deductible as charitable contributions for federal income tax purposes.
Your Electronic Signature Here (Please Type)
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Building—and maintaining—our political strength begins with you. COPE which stands for Committee on Political Education is a non-partisan Political Action Committee (501(c)(4)) fund made up of voluntary contributions from members like you. These funds are used to support pro-worker candidates on both sides of the aisle as well as political work that benefits you. Dues money cannot be used for partisan political purposes, but COPE lets us have a stronger voice in the political process. We ask members to make voluntary contributions to SEIU 668’s COPE PAC fund so that we can help elect candidates who stand up for issues important to working families. Would you like to contribute to COPE?
*
Yes
No
I authorize my employer to deduct each pay period the amount certified below as voluntary contribution to be paid to the Secretary-Treasurer of the SEIU Local 668 COPE, 2589 Interstate Drive, Harrisburg, PA 17110-9602 for SEIU COPE to be used for political purposes, including but not limited to making contributions to and expenditures for candidates for federal, state, and local offices and addressing political issues of public importance.The contribution amounts on this form are merely a suggestion, and I may contribute more or less by this or some other means without fear of favor or disadvantage from the union or my employer. Only union members and executive/administrative union staff who are U.S. citizens or lawful permanent residents are eligible to contribute to SEIU COPE. My contribution is voluntary, and I understand that it is not required as a condition of membership in any organization, or as a condition of continued employment, and is free of reprisal, and that I may revoke this authorization at any time by giving written notice to SEIU Local 668 c/o JoAnne Sessa, Secretary-Treasurer, 2589 Interstate Drive, Harrisburg PA 17110. Contributions to SEIU COPE are not deductible as charitable contributions for federal income tax purposes.
*
$5
$10
$15
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