Membership FormSign up to become a member of Oklahoma Corrections Professionals. Name * First Name Last Name Facility Name DOC ID DOB Home Address City State Zip Phone (###) ### #### Email Agency Work Location Position Work Address Payroll Deduction Authorization I hereby authorize the State of Oklahoma to deduct from my pay the amount checked below to purchase dues in Oklahoma Corrections Professionals, subject to my right to revoke this order by written notice to my employer Dues Options $15 Basic Dues By signing this application, I authorize the release of my home address and contact information to OCP. * Yes No Employee ID or Last 4 of SSN Date Submitted MM DD YYYY Thank you!
