OPERS Facility Usage Membership Justification Form

Use this form to request an OPERS Facility Usage Membership Card for an OPERS Volunteer to allow them access to the facilities. If the volunteer is a current UCSC student, they do not need to submit this form because they have access with their student ID card. If the volunteer already has an OPERS Facility Usage Membership on their own (such as UCSC Staff and Faculty through payroll deduction), they do not need to submit this form because they have access with their membership card. If you determine that a request for a Membership Card is needed, submit this to the OPERS Voiunteer Coordinator along with the other Volunteer forms. 

Download the 2014-15 Justification Form here.