Per Capita

Per Capita Statement

You may only submit payment for one quarter/month per submission. If you need to make multiple payments, please make multiple form submissions with separate payments.

Check Off Status Locals

Quarterly Payment Status

$
USD

Minimum payment: $50.00

Per Capita Rate: $50.00 per working member for hours worked

Per Capita Rate: $50.00 per month

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USD
$
USD
$
USD
$
USD

You will be redirected to Stripe to process payment. You may pay with card or ACH.