United States Ombudsman Association

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First Name, Last Name: *
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Title
Office Name
Level Of Government Federal
State or Provincial
Local Government
Does Not Apply
Primary jurisdiction: * General Jurisdiction
Environmental
Children/Youth/Families
College or University
Small Business/Economic Development
Law Enforcement
Public Schools
Hospital
Long Term Care
Corrections
Internal/Personnel
Other
Structure * Legislative ombudsman defined in law
Executive ombudsman defined in law
Executive or agency ombudsman not defined in law
Not Applicable
I am interested in participating in these USOA committees (check all that apply):
Conferences/Training
Membership
Member Services
Outreach & Development
Crisis Management Team
I am interested in participating in these USOA chapters (check all that apply):
Children/Families
Corrections
Healthcare
Municipal Government
Education
Federal Government
Please provide a very brief description of your office
Category of Membership: * $150 - Voting Membership (An incumbent public sector ombudsman, or paid or unpaid staff members of an ombudsman office of a public official who performs the ombudsman function.)
$125 - Associate Membership (Any person who is committed to promoting and encouraging the purposes of USOA.)
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Remit dues to:
USOA membership is based upon a calendar year.
Dues are payable the first of January each year.

IRS Tax ID: 31-0980281


Our mailing address is:
USOA
5619 NW 86th St., Ste. 600
Johnston, IA 50131-2955
 

Questions?
Alda Helvey
Business Manager
5619 N.W. 86th St., Ste. 600
Johnston, IA 50131-2955
Telephone: 515-225-2323
Fax: 515-327-5050
usoa@assoc-serv.com