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AGESSS membership form

Personal information

Gender
Language

I adhere to the AGESSS as :

member_type

Professional information

Type of insurance
Status
If you occupy an interim or occasional position, do you also hold a unionized or unionizable non-member position with that employer?

Payment method

Mode de paiements

Other informations

Signature

(*) By "legal dispute" we mean a problematic or conflictual situation experienced with your employer, including a request addressed to your employer that could result in a disagreement. In case of doubt, we invite you to contact the Legal Affairs and Human Resources Department to validate if you are in a legal dispute. If you join while in a legal dispute, the Association reserves the right to cancel your membership.

Other informations

Type of membership
In the event that your residence is in a different administrative region than your former establishment, we offer you the option to change your region listed in our records. Thereby knowing if you would like to participate in the activities of the Association of the region of your former establishment or those of your home region.

Payment method

mode_de_paiements_retraite
Mes cotisations seront prélevées par Retraite Québec (CARRA) directement sur mes rentes, à raison de 5,00 $ par mois (Available here)

Signature

À PROPOS de l' AGESSS

L'AGESSS est la plus grande force de représentation des gestionnaires du réseau de la santé et des services sociaux du Québec. Il s’agit d’une corporation constituée en vertu de la Loi sur les syndicats professionnels.

Partenaires

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Contactez-nous

601, rue Adoncour, bureau 101
Longueuil (Québec) J4G 2M6

Téléphone : 450 651 6000
Sans frais : 1 800 361 6526
Télécopieur : 450 651 9750

Courriel : reception@agesss.qc.ca

Liens rapides

2023 © AGESSS Tous droits réservés