United States Ombudsman Association

Member Login
Username:
Password:
USOA Menu Curv
Home › Membership › Application › Register Online
Register Online

* indicates required.
  Sign Up
First Name, Last Name: *
Address Line 1: *
Address Line 2:
City: *
State/Province: *
Zip/Postal Code: *
Phone Number: * Ext:
Mobile/Secondary Number: Ext:
Fax Number:
Email Address: *
Web Site Address:
Login: *
Password: *
Re-Type Password: *
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
Please provide a very brief description of your office

   
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
8345 University Blvd., Suite F-1
Des Moines, IA 50325

 Questions?
Alda Helvey
Business Manager
8345 University Blvd., Suite F-1
Des Moines, IA 50325
Telephone: 515-225-2323
Fax: 515-225-6363
usoa@usombudsman.org