NYSSCPA Membership Dues Reduction Application Form 2008/2009
For details
on the Dues Reduction Policy criteria and qualifications click
here.
For
information on the NYSSCPA Benevolent Fund please click
here.
Under the
terms of its 018 reduced dues class, the Society may grant a dues
reduction for the following reasons: I. Full
Unemployment
II. Full-Time Student
III. Financial Hardship
I. Full
Unemployment
a. Name of previous employer:
b. Last date with employer:
c. Are you currently
collecting unemployment insurance?
Yes
No
d.
Position held with last employer:
e. Length
of services with
last employer:
II. Full-Time
Student (Please attach a copy of your current class registration.)
a. When did you leave your past position?:
b. When did you return to school?:
c. How many credits are you taking?:
d. Expected date of completion?:
e. Are you working
full or part-time while in school?:
Yes
No
III.
Financial Hardship -- Members may be granted a reduced rate
for financial hardship.
a. Are you currently
on SSI?
Yes
No
If yes, please
provide copy of the benefits verification letter from SSI via fax
to Member Services at 212-719-3365 or email xfox@nysscpa.org.
b. Are you on
family leave?
Yes
No
If yes, when
do you plan to return to the workforce?
c. Please specify
reason(s) for your reduction request. Also, please provide date
and time when income was affected.
d. Why do you
want to maintain your membership?
e. How can we
assist you in being more involved in the NYSSCPA?