2025 CAS Dues Waiver Form

Full Legal Name *

Email address *

Year of Birth *

Permanent Dues Waiver - Full Waiver

Attainment of age 70

Attainment of age 55, Retired and deriving little or no earned income ($52,000 or less)

Temporary Dues Waiver - Full One-Year Temporary Waiver (Unlimited Waiver) (Must meet criteria below) Retired before the age of 55, Deriving little or no earned income ($52,000 or less): Please check all that apply (you must reapply for this waiver each year)

- Volunteering on a CAS Committee or Regional Affiliate

- Authoring a Paper

- Participating as a panelist

- Or otherwise contributing to the Society

Date of retirement * +

Please provide method of contributing to CAS. *

Temporary Dues Waiver - Full One-Year Temporary Waiver (Limited to 5 waivers in the span of your CAS membership) Please check one option below (you must reapply for this waiver each year)

- A Member on temporary leave from the actuarial profession because of active military service. This waiver is for one year and may be renewed each year upon written request

- A Member on temporary leave from the actuarial profession and deriving little or no earned income because of

- a disability, or

- full-time attendance at an accredited school or higher education, or

- participating in a voluntary humanitarian service (Peace Corps, etc, or,

- raising children or caring for another family member.

Dues Deferral - (Limited to two consecutive deferral requests.)

A member who is unemployed and actively seeking employment may submit a written request for deferral of dues to the Board of Directors before dues have become six months in arrears. The request will be granted for one year and may be renewed for one additional year upon written request. Deferred dues are payable when the member becomes employed.

Temporary Dues Waiver - Partial Waiver (you must reapply for this waiver each year)

Retiring before the age of 55, deriving little or no earned income, and not actively contributing to the Society (50% partial dues waiver).

Temporarily away from the actuarial profession, and deriving little or no earned income, to raise children or care for another family member, and NOT actively contributing to the society.

Date of Retirement * +

Signature *

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