Full Dues Waiver Form

How waivers work
 

• Waivers are based on a member's status as of Jan. 1, 2013.
• If you are granted a waiver and you no longer meet the stated criteria, you are obliged to notify the Academy and pay the full dues amount.
• All requests for waivers must be submitted by May 1, 2013.
• Members who are at least 70 years old, or who are at least 55 years old and remain totally disabled, are not required to reapply for a full waiver every year. Others must certify annually that they meet the stated criteria for the full dues waivers.
• If you are granted a waiver and you no longer meet the stated criteria, you are obliged to notify the Academy and pay the full dues amount.

 
Members with full dues waivers are eligible to receive the Actuarial Update, Contingencies magazine, annual meeting notices, voting material for proposed bylaw amendments, and material from the Actuarial Standards Board.
 

Questions?

If you are not sure whether you qualify for a dues waiver, please contact Kasha Shelton at the Academy (membership@actuary.org [1], 202.223.8196).
 

First Name: *

Last Name: *

Address: *

City: *

State: * - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip: *

Phone Number: *

E-mail: *

Date of Birth: *

MonthJanFebMarAprMayJunJulAugSepOctNovDec

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Year1913191419151916191719181919192019211922192319241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015

I am applying for a full waiver of Academy dues: *

Yes

No

I qualify for the waiver because: *

I am age 70 or older

I am totally disabled and anticipate remaining so throughout 2013

I am serving on active duty in the United States military or am serving in the Peace Corps or similar volunteer service

Please select one (1) reason why you qualify for a full membership dues waiver.