OMC Employee Fund Drive

Thank you for being part of Olympic Medical Center's Employee Giving Campaign! 

United Way of Clallam County is committed to helping all residents of our community live safe, healthy, and productive lives. Our annual campaign raises funds to support United Way programs and local nonprofits that we call Impact Partners. These Impact Partners provide wrap-around services to more than 46,600 individuals and families in our community in the areas of Healthy Community, Youth Opportunity, and Financial Security. Giving to United Way is the most effective and impactful way to donate money in Clallam County. 

From early childhood education, to safe and affordable housing, to job training and career readiness, United Way of Clallam County is a one-stop-shop for people who want to do the most good for the most people right here at home.

 

 

omc logo

This pledge form is unique to employees of Olympic Medical Center. 

If you are looking for the general donation form, please click here. Still can't find what you need? Contact us: info@unitedwayclallam.org

WORKPLACE PLEDGE CARD - OLYMPIC MEDICAL CENTER

Payroll Deduction or PTO
$
TOTAL
0
NOTE: Payroll deductions for this donation will begin January.
Cash or Check Donation

To donate by cash or check, please print this form and mail it with your payment to United Way of Clallam County, PO Box 937, Port Angeles, WA 98362.

$

If donating by credit card or ACH, please CLICK HERE to exit this form and complete your online transaction.

Found on your workday payslip.
PLEASE DISTRIBUTE MY GIFT AS FOLLOWS

I choose the Community Care Fund because I know my gift will be invested in meeting the most critical current needs in Clallam County. My gift will be distributed in a way that will make the greatest impact in the community.

Please ensure your distributions equal the total contribution you listed above. Distributions not designated below will be allocated to the United Way Community Care Fund.
My gift will be distributed in a way that will make the greatest difference in Clallam County.
Assisting coworkers during emergent difficult times with medical costs, food, utilities, travel or other expenses.
Building a better working environment by promoting togetherness in celebration. (Holiday parties for both children and adults, employee picnic, sports teams, etc.)
Dedicated to providing equipment and services that bring the most benefit for patients locally, such as hospital equipment, nursing, and ongoing staff education programs.
For designations to IRS approved 501©3 agencies not affiliated with United Way of Clallam County, please type in the name and address of the agency. A 10% processing fee will be deducted from designations to non-Impact Partners.
$
$
$
$
Nonprofit name and contact information.
$
Leadership Giving - $250 or More
United Way of Clallam County has a recognition program for individuals and couples who donate $250 or more to United Way and Partner Agencies.
Agreement
SIGNATURE AUTHORIZING CONTRIBUTION and acknowledging no goods or services were provided in exchange for this contribution. 
Sign above

Thank you for supporting your community through the 


Olympic Medical Center - United Way Combined Fund Drive!

0.00

Thank you for supporting United Way!