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Dues Deduction approval

  • MM slash DD slash YYYY
  • Monica Lo, Director of Administrative Services City of Whittier 13230 Penn Street Whittier, CA 90602
  • , hereby authorize you to deduct the following membership dues for WPOA membership:
  • The funds should be deposited with the Whittier Police Officers’ Association for dues and insurance. This amount is to begin effective the next pay period.
  • Member Signature