Payroll Deduction Authorization Form
Please print form and mail to CFT/SP.

I hereby authorize the Caddo Parish School Board to deduct dues for the Caddo Federation of Teachers and Support Personnel from my paychecks in twelve equal monthly installments. Dues are continuous and set by the membership in accordance with the Constitution of the Federation. I understand that I may cancel this authorization at any time by written notification to the Caddo Parish School Board Payroll Department and to the Caddo Federation of Teachers and Support Personnel (CFT/SP).

Please circle appropriate classification.

Teacher: $37.95 per month for 12 months - Support Personnel: $18.98 per month for 12 months

Name _____________________________________________________________

Address ___________________________________________________________

City _____________________________ State _______ Zip Code _____________

School _____________________________ Position ________________________

Social Security # _____________________ Home Phone # ___________________

Planning Period/Break __________________ Lunch Period ___________________

Signature ___________________________________ Date __________________

Recruiter ________________________________________

Caddo Federation of Teachers and Support Personnel
2015 Fairfield Avenue, Suite 2B
Shreveport, Louisiana 71104
318-424-4579
318-424-4503 Fax

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