Campaign Agreements Please fill out the form below Note: We recommend using Chrome as your browser when submitting this form General Match Exact Pay Certify Campaign Agreement General Questions Organization info Organization name What is the street address of your organization’s headquarters? Address (line 1) Address (line 2) City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Campaign Coordinator Info Please enter the contact information for your campaign coordinator Campaign Coordinator Name Campaign Coordinator Title Campaign Coordinator Phone Campaign Coordinator Email Payroll Coordinator Info Please enter the contact information for your payroll coordinator Payroll Coordinator Name Payroll Coordinator Title Payroll Coordinator Phone Payroll Coordinator Email Payroll Coordinator Fax Campaign Dates What are the dates your campaign will run? (Aproximate dates are acceptable) Campaign Start Campaign End What are the dates your deductions will run? (Aproximate dates are acceptable) Deductions Start Deductions End Checks What name and address will appear on the checks to UWKC? Name Address (line 1) Address (line 2) City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip How frequently will your organization send checks to UWKC? Monthly Quarterly Other Please specify how often your organization will send checks to UWKC Employee Info How many employees work in King County at your organization? (Aproximate numbers are acceptable) Will UWKC process donations from employees working for a branch or subsidiary outside of King County? We’re here for your employees outside of King County but are required to track the county they work in, this is for our internal reporting. No Yes Are there participating locations outside of King County we should exclude? General pledge info Will your organization contribute a direct gift? No Yes What format will your organization use to record pledges? Our E-Way and EZ-Give options are similar with one major difference-we create custom logins for E-Way users where EZ Give does not use logins at all. United Way Online Portal (E-Way) United Way Online Portal (EZ Give) (Note: if you select EZ Give you may not partake in our exact pay program) Other Please list the formats you will record pledges in Would your organization like to be billed for payroll deductions? No Yes Campaign Agreement Match Questions Match Info Will your organization match employee gifts? No Yes What ratio will your organization match (per dollar)? Is there a maximum amount to be matched per donor? No Yes Please enter the maximum amount per donor your organization will match Is there a maximum total amount your organization will match? No Yes Please enter the maximum toal amount your organization will match Designation Info How will your match dollars be designated? Where the need is greatest Ending homelessness Reconnecting youth Supporting financial stability Giving every child an equal chance Follow employee designations Other Please list other designations Special Cases Will UWKC process match dollars for employees outside of King County? No Yes Will your organization match special event proceeds? No Yes Will your organization match donations by retirees? No Yes Are there any employees whose donations your organization will not match? No Yes Please enter names or a way these donors can be identified. Reporting Does your orgnaziation want to receive a match invoice? No Yes Does your orgnaziation want to receive a match report itemized to show individual match amounts? No Yes Match Comments Campaign Agreement Exact Pay Questions Employee Questions Will your organization take part in UWKC’s Exact Pay program? The Exact Pay Program combines a report from your payroll office with each payment to UWKC to track the fulfillment of your employee’s pledges. Your UWKC representative can provide more information. (Note: Our Exact Pay Program is not compatible with the EZ Give pledge format) No Yes How will employees be identified? Employee ID File Number Other Please list other methods of identification Remittance Questions How often will remittance files be sent to UWKC? Monthly Quarterly Campaign Agreement Certification Please enter your name and initials to certify this document First Name Last Name Email Initials Thank you for your submission! Your information will be reviewed and you will hear from a representative at United Way of King County soon. Previous Next
