COPE Check-off Form

Authorization for Voluntary Check-off for the Committee on Political Education

Thank you for committing to help your union educate public officials on the issues that are important to you!  Please download and complete the form below and return it to us in one of two ways:

• Fax the completed and signed form to (201) 262-4335.  Please include ‘Care of’ Barbara Rosen on the cover page or;
• Send the completed and signed form to: HPAE COPE Check-off, 110 Kinderkamack Rd, Emerson NJ, 07630, c/o Barbara Rosen.