Congratulations! Your membership is active. Now take the next step to win for home care providers with the Caregivers Action Fund (COPE)! Caregivers Action Fund (COPE) Donation FormYes! I want to hold politicians accountable to working families! The Caregivers Action Fund (COPE) program is vital to keeping the In Home Supportive Services program alive. The government directly funds our program, so we need political power to advocate for ourselves and our clients and to keep winning strong contracts. Because of members’ investments in the Caregivers Action Fund (COPE), we’ve been able to win huge increases in our state minimum wage, increase state funding for in Home Supportive Services, and elect representatives to Congress that are fighting to expand Medicaid and make quality affordable care available to all Americans.***Full program description and terms are listed below.Caregivers Action Fund (COPE) Donation Amount*$20 per month$15 per month$10 per monthFirst Name*Last Name*Email* Today's DateStreet Address*City*State*Zip*Country*CAREGIVERS ACTION FUND (Committee On Political Education) Authorization: *** Yes! I want to hold politicians accountable to working families and I know we can only do that if we stand together. I hereby authorize the Office of the State Controller of California to withhold indicated amount per month to forward to SEIU Local 2015 as a contribution to the Caregiver Action Fund, SEIU Committee on Political Education (“SEIU COPE”). My signature shows that I agree with the terms below. This authorization is made voluntarily based on my specific understanding that (1) I am not required to sign this form or make voluntary contributions to the Caregivers Action Fund (SEIU COPE) as a condition of my employment or membership in the union; (2) I may refuse to contribute without reprisal; (3) Under law, only union members and executive/administrative staff who are U.S Citizens or lawful permanent residents are eligible to contribute to the Caregivers Action Fund (COPE); (4) the contribution amounts on this form are merely suggestions, and I may contribute more or less by this or other means without fear or disadvantage from SEIU Local 2015 or my employer; (5) SEIU Caregivers Action Fund (COPE) uses the money it receives for political purposes-including but not limited to, making contributions to and expenditures on behalf of candidates for federal, state, or other permitted method. Contributions or gifts to SEIU Caregivers Action Fund (COPE) are not tax deductible as charitable contributions.CommentsThis field is for validation purposes and should be left unchanged.