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FIREPAC Contribution Request Form

IAFF members and their immediate family members running for publicly elected office are eligible to request a FIREPAC contribution.

To request a FIREPAC contribution to your campaign, submit the electronic form below, which requires three (or more) attachments:

A letter of endorsement from the local president of your (or your family member’s) home local and also (if applicable) letters of endorsement from the president of any other IAFF locals you would represent if elected.
A copy of your campaign budget.
A W9 form with the EIN section completed.

Candidate's First Name(Required)

Candidate's Last Name(Required)

IAFF Member?(Required)

Local #(Required)

Local City, State(Required)

IAFF Member Name(Required)

Relationship to IAFF Member(Required)

What is your (or your family member's) membership status?(Required)

How long have you (or your family member) been an IAFF member?(Required)

Have you (or your family member) attended the IAFF's Political Training Academy?(Required)

What year?(Required)

Are you a veteran?(Required)

What branch of service?(Required)

Do you (or your family member) contribute to IAFF's FIREPAC?(Required)

Campaign Committee Name(Required)

Campaign Address (Include City, State, Zip)(Required)

Campaign State

Contact Person/Title(Required)

Contact Person's Phone(Required)

Contact Person's Email Address(Required)

Office Sought(Required)

Are you an incumbent in this race?(Required)

City, State or District(Required)

Have you sought or do you hold another elected office?(Required)

Is this a partisan race?(Required)

What is your party affiliation?(Required)

Is the office you seek within your local's geographic jurisdiction?(Required)

If elected, what other IAFF locals would you represent? (list city, state, local #)(Required)

Has your candidacy been endorsed by your home local?(Required)

Have you sought support from the state AFL-CIO and/or state labor council?(Required)

Date of primary election(Required)

Do you have primary opposition?(Required)

Date of general election(Required)

How long is the term of office you seek?(Required)

Estimated total cost of campaign(Required)

Has your local contributed to your campaign?(Required)

How much did they contribute?(Required)

Amount raised by the community(Required)

Amount contributed by candidate/family(Required)

Attach Letter(s) of endorsement, campaign budget, and completed IRS W9 form with EIN#(Required)

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 2 MB, Max. files: 6.

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