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
Office structure: * Legislative ombudsman defined in law
Executive ombudsman defined in law
Executive or agency ombudsman not defined in law
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
I am applying for new membership in the United States Ombudsman
Voting Member: An incumbent public sector ombudsman, or paid or unpaid staff member of an ombudsman office or a public official who performs the ombudsman function.
Annual Dues: - $150.00
Associate Member: Any person who is committed to promoting and encouraging the purposes of the USOA
Annual Dues: - $125.00 * 		Associate Member
Voting Member
Honorary Member

   
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