Membership Application

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Membership Authorization

Yes, I want to join my fellow employees and become a member of SEIU Wisconsin! I request and voluntarily accept membership in SEIU Wisconsin and its successors or assigns (collectively “SEIU Wisconsin”). This means I will receive the benefits and abide by the obligations of membership set forth in both SEIU Wisconsin's and the Service Employees International Union's Constitutions and Bylaws. I authorize SEIU Wisconsin 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 Wisconsin via U.S. mail (or other method if permitted by SEIU Wisconsin'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 to SEIU Wisconsin and its successors and assigns (collectively "SEIU Wisconsin" or "Union") an amount equal to SEIU Wisconsin's regular dues. I make this authorization in consideration for the cost of representation, collective bargaining and other activities my Union undertakes for me. This authorization is not contingent on my continued membership in the Union. This authorization shall be irrevocable for a period of one year from the date of execution thereof or until the termination of the collective bargaining agreement between the company I work for and my Union, whichever occurs sooner, and from year to year thereafter, unless not fewer than thirty days and not more than forty-five days prior to the end of any subsequent yearly period or to the termination of the collective bargaining agreement, respectively, I provide notice of revocation to SEIU Wisconsin via U.S. mail and to the company. In addition, if there is any period of no contract, I may revoke this authorization during that period of time. I ask my above employer to treat a copy of this authorization as valid as the original retained by the union.

*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.

Contribute to SEIU Wisconsin COPE Fund

Yes! I want to hold politicians accountable to working families, and I know we can do that only if we stand together. I hereby authorize my employer to withhold the indicated amount per pay period to forward to SEIU Wisconsin (“SEIU”) as a contribution to SEIU Committee on Political Education (“SEIU COPE”). My signature shows that I agree with the terms below.

*This authorization is made voluntarily based on my specific understanding that: 1) I am not required to sign this form or make voluntary contributions to SEIU COPE as a condition of my employment or membership in the union; 2) I may refuse to contribute without reprisal; 3) Under law, only union members and executive / administrative staff who are U.S. Citizens or lawful permanent residents are eligible to contribute to COPE; 4) The contribution amounts on this form are merely suggestions, and I may contribute more or less by this or other means without fear of favor or disadvantage from SEIU or my employer; 5) SEIU COPE uses the money it receives for political purposes – including, but not limited to, making contributions to and expenditures on behalf of candidates for federal, state, and local offices, and addressing political issues of public importance. This authorization shall remain in effect until revoked by me in writing via U.S. mail to SEIU. Contributions or gifts to SEIU COPE are not tax deductible as charitable contributions.