Expense reimbursement form - CIR/SEIU Healthcare - cirseiu 2026

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  1. Click ‘Get Form’ to open the Expense reimbursement form in the editor.
  2. Begin by entering your full name and the date you are submitting the form in the designated fields.
  3. Fill in your mailing address, including city, state, and zip code, ensuring all information is accurate for correspondence.
  4. Indicate your role by checking one of the options: Officer, Delegate/Alternate, or Other.
  5. Attach original receipts where possible. For each expense, write the corresponding receipt number next to it in the provided lines.
  6. For each expense incurred, enter the date, nature of expense (e.g., Parking, Tolls), and amount in their respective fields.
  7. Sign and date at the bottom of the form to validate your submission.
  8. Calculate total expenses and enter this amount in the designated field before sending your completed form along with receipts to Peter Chang at the CIR National Office.

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The Committee of Interns and Residents (CIR) is the largest union of resident and fellow physicians (collectively referred to as housestaff) in the United States, representing more than 34,000 interns, residents, and fellows in California, Florida, Idaho, Illinois, Massachusetts, New Jersey, New York, New Mexico,
For union membership, the answer is that workers can opt-out at any time. For paying dues, the answer is that its legal to optout or at least to pay a reduced amountin many circumstances. A couple of determining factors are whether you live in a right-to-work state and the reason why you dont want to pay dues.
To cancel your membership with SEIU Local 503, OPEU, please send a letter with an original signature. This is the language to use in your original, signed letter: I am requesting to drop my union membership.
To opt out of CIR SEIU dues: Enter your information into the form below and click submit. On the resulting page, click the link to open your customized form. You will also receive an email with a link to your form. Print the form. Sign and date the form. Mail the completed form to the address at the top of the form.
The Committee of Interns and Residents (CIR) is a union run by residents for residents. Founded in 1957, its the largest housestaff union representing over 22,000 members across California, New Mexico, Illinois, Florida, DC, New York, New Jersey, Vermont and Massachusetts.

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(Your participation in an employer-sponsored or jointly-sponsored pension plan provided as an employee benefit cannot be adversely affected by nonmembership in a union.) You can resign by simply sending your union a written letter stating that you are resigning effective immediately.

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