Council 31 Public Sector Card

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Collective Bargaining Authorization and Membership Card

YES! I want to join our union so we can win respect, better wages and a voice on the job.

First Name *

Last Name *

Address *

Address 1 *

Address 2

City *

State *

ZIP code *

Personal Email *

Cell Phone *

Home Phone

Work Phone

Employer *

Job Title

Work Site

Hours of Work

Department

Authorization

I hereby affirm my membership in AFSCME Council 31, AFL-CIO and authorize AFSCME Council 31 (“AFSCME Council 31” or the “Union”) to represent me as my exclusive representative on matters related to my employment. I understand that when a majority of my co-workers join in signing a card, this card can be used to obtain certification of AFSCME Council 31 as our exclusive bargaining representative without an election.

I recognize that my authorization of dues deductions, and the continuation of such authorization from one year to the next, is voluntary and not a condition of my employment. 

Upon ratification of our first contract, I hereby authorize my employer to deduct from my pay each pay period that amount that is equal to dues and to remit such amount monthly to the Union. This voluntary authorization and assignment shall be irrevocable for a period of one year from the date of authorization and shall automatically renew from year to year, irrespective of whether I am or remain a member of the Union, unless I revoke this authorization by sending written notice by the United States Postal Service to the Union postmarked not more than 25 days and not less than 10 days before the expiration of the yearly period described above, or as otherwise provided by law. This card supersedes any prior check-off authorization card I signed. 

Payments to the Union are not deductible as charitable donations for federal income tax purposes.

Signature

Date *

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Day

Year

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