FedDef Membership Application

How to Reach Us

1 (800) 569-5861

contact_us@local1776.org

FedDef New Member Application

We recommend having a copy of your most recent SF50 Personnel Action Form handy when completing this application.

FedDef New Member Sign Up

Personal Information

Personal Information

First Name

Middle Initial

Last Name

Cell Phone Number

Can We Text You?

Personal Email Address

Work Email Address

SSN (Last 4)

Date of Birth

Address 1

Address 2

City

Zip Code

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US Residents Only

State/Territory

State or Territory

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Non-US Residents

What country do you reside in?

Country

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Civilian Position Information

Civilian Position Information

This information can be found in your latest SF50. You can view a copy of your SF50's on MyBiz.

Employing Department or Agency Name

Facility Name

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Note: Job Title, Pay Plan, Job Series, Grade, and Step can usually be found starting in SF50 Blocks 15 - 22. If 15-22 are blank then use the information conatined in SF50 Blocks 7-14.

Job Title

Pay Plan

Job Series

Grade

Step

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Note: the following information can be found in SF50 Blocks 23-37:

Veterans Preference

Tenure

Position Occupied

FLSA Category

Bargaining Unit Status

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New-Member Questionaire

Explain all YES answers

Is there a pending or current investigation that you may be the subject of?

Explain why you answered YES to whether you are the subject of a current investigation:

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Is there any pending or current disciplinary action against you?

Explain why you answered YES to whether there's any pending or current disciplinary action against you?

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Have you had any disciplinary action taken against you in the last 12 months by either your current or previous employing Agency?

Explain why you answered YES to whether you have had any disciplinary action taken against you in the last 12 months?

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Have you ever had your security clearance suspended or revoked?

Explain why you answered YES to whether you have ever had your security clearance suspended or revoked?

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Signature and Date

Electronic Signature

Date

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Privacy Policy

Information collected is for membership and representational purposes and is not shared with any party or entity that does not have a need to know. Please make sure to read and accept our Privacy Policy before submission.

Click here for our complete Privacy Policy.

Privacy Notice

I Accept

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Membership Terms

Please make sure to read and accept the FeDef Membership Terms before submission.

Click here for our Membership Terms.

Membership Terms

I Accept

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PO Box 1794, Abita Springs, LA 70420

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