UCPEA COVID-19 Relief Fund
Eligibility:
• Member in good standing as of Dec. 31, 2020 with an annual salary of less than $100,000
• Limit of one award per member/family per fiscal year
• Awarded on a first come first served basis until funds are exhausted
• Completed application (on-line submission)
Please note:
This is not an UCPEA contractual benefit, therefore, only dues paying members qualify for these funds.
The Executive Board will decide whether to continue to offer it for future years.
* Required
Last Name
*
Your answer
First Name
*
Your answer
Employee Number
*
Your answer
UConn Email Address
*
Your answer
Non-UConn Email Address
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Phone Number
*
Your answer
Current Salary Band
*
Choose
Less than $45,000
$45k – $64,999
$65k - $84,999
$85k - $99,999
Type of Expenses
*
Child Care
Elder Care
Household (Food, Rent, Utilities)
Health Care
Supplement loss of income
Other:
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
