Home Care MI Authorization Card

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Representation Authorization: This is a REQUEST FOR EXCLUSIVE REPRESENTATION. Yes, I, the undersigned individual home help caregiver in the State of Michigan, wish to be exclusively represented by Service Employees International Union Healthcare Michigan and its successors or assigns (collectively, “SEIU HCMI”). I want SEIU HCMI to act as my representative in collective bargaining with my employer, the director of the Department of Health and Human Services or the director's representative or the entity as defined by law to serve my employer, over wages, benefits, and other terms/conditions of employment, and as my exclusive representative where authorized by law. I understand that SEIU HCMI will use this authorization card to seek an election or voluntary recognition from my employer. I know that membership in the union is voluntary and is not a condition of my employment, and that I can decline to join without reprisal.

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Membership & Dues Deduction

YES! I want to join with other Public employees to make my voice heard.

I request and voluntarily accept membership in the Service Employees International Union Healthcare Michigan and its successors or assigns (collectively, “SEIU HCMI”). This means I will receive the benefits and abide by the obligations of membership set forth in SEIU HCMI's and the Service Employees International Union's Constitution and Bylaws. I authorize SEIU HCMI to act as my representative in collective bargaining over wages, benefits, and other terms/conditions of employment with my employer, and as my exclusive representative where authorized by law. My membership will be continuous, unless I resign by providing notice to SEIU HCMI via U.S. mail (or other method if permitted by SEIU HCMI's policies). I know that union membership is voluntary and not a condition of employment, and that I can decline to join without reprisal.

Dues Deduction Authorization

I request and voluntarily authorize my employer to deduct from my earnings and to pay SEIU HCMI an amount equal to SEIU HCMI's regular dues of 2.5% of a member's monthly pay not to exceed $55 per month, but subject to change per a membership vote and in accordance with SEIU HCMI's Constitution and Bylaws and any applicable laws, rules, or regulations. This authorization is voluntary and is not a condition of my employment, and I can decline to agree to it without reprisal. I understand that all members benefit from everyone's commitments because they help build a strong union that is able to plan for the future. Contributions or gifts to SEIU HCMI are not tax deductible as charitable contributions.

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