Benefits Extension for Unemployed Members Form
APICS corporate
sends dues reminders to each member on his/her anniversary month. The dues notice includes both corporate and
chapter dues. Payment is due within 30 days after billing. If, at the time of billing, the member is unemployed
and actively seeking work within the APICS business sector, his/her membership
may be extended for a six-month period at no cost.
The member may
apply for the extension through the local chapter, which must approve the request
and waive the chapter dues assessment.
If the member remains unemployed at the end of the extension period,
he/she may apply for an additional extension. Total extensions will be limited to three
for a total of 18 months membership without assessed fees.
To request an
extension of benefits due to unemployment, submit this completed form to APICS corporate
within 30 days after membership expiration date. The form must be signed by the member and
approved by the member's chapter president.
(For complete rules, see page 2 of this form.)
Statement of Authority:
___________________________ _____________________________
(Print member name here) (Member number - Required)
has applied
for a six-month extension of membership benefits, due to unemployment status. On behalf of the
__________________________________chapter,
I ____________________________________________
(Chapter name)
(Chapter president’s name)
hereby approve
the request and waive my chapter's dues for this member for a six month period.
__________________________________________ ____________________________________________
(Member Signature/Date) (Chapter
President Signature/Date)
Return completed form to:
Validated/Completed
Attn: APICS Chapter Relations
Fax: (773) 409-5726
E-mail: chaprel@apics.org
Phone: (800)
444-2742 or (773) 867-1777
- For APICS Use Only -
Received _____________
Completed ___________
Stock #01080
(Page
1 of 2) Revised
4/2008
Unemployed
Member Benefit Extension Criteria
1. CRITERIA FOR UNEMPLOYMENT STATUS
ACCEPTANCE
a. The
member must be actively seeking employment within the APICS business sector.
b. The
member may be a self-employed consultant while looking for work.
c. Retirees
or buy-out participants are not eligible.
2. APPLICATION/VERIFICATION PROCESS
a. The member must apply for the extension
in writing to his/her chapter president and include a copy of the dues renewal notice.
b. Each
chapter must determine its own method for verifying the member's status.
c.
Membership extension authority must be in the form of a
letter (or form #01080) to the APICS Membership Division from the chapter
president or a designated chapter officer.
It must include a statement of authority, the member's name, and
membership number and must be accompanied by a copy of the member's dues
renewal notice.
3. TIMING
a. All statements of authority must reach APICS
corporate within 30 days after the membership expiration date.
Stock #01080
(Page
2 of 2) Revised
4/2008