I recognize the need for a strong union and believe everyone represented by our union should pay their fair share to support our union’s activities. I hereby authorize my Employer(s) to deduct from my compensation and pay to Service Employees International Union (SEIU) Local 99, irrespective of my membership in the union, amounts equivalent to membership dues and assessments as duly adopted by SEIU Local 99. If for any reason, my Employer fails to make a deduction, I authorize the Employer to make such deduction in the subsequent payroll period. SEIU Local 99 is authorized to submit this authorization to my Employer(s) under contract with SEIU Local 99. This authorization is irrevocable for a period of one year or until the termination of the presently existing collective bargaining agreement between the Union and my Employer, whichever is sooner. Also, I agree this authorization shall be automatically renewed and shall be irrevocable for successive periods of one year or for the period of each collective bargaining agreement between SEIU Local 99 and my Employer unless I give written notice via U.S. mail to the Union during the period not more than twenty-five (25) days and not less than ten (10) days prior to (1) the annual anniversary date of this agreement or (2) the date of termination of the applicable collective bargaining agreement between the employer and SEIU Local 99. My dues deduction authorization shall automatically terminate if my employment terminates, or I otherwise cease to be a member of the bargaining unit. This dues authorization will remain effective, however, if my employment with the Employer ends and I am later re-employed by the Employer. This dues authorization is voluntary and is not a condition of my employment, and I can decline to agree 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. It is my responsibility as a member to notify the union if I believe my deductions are incorrect or if I am no longer in a bargaining unit represented by SEIU Local 99.
Contributions or gifts to SEIU Local 99 are not tax deductible as charitable contributions. However, they may be deductible as ordinary and necessary business expenses.
I request and voluntarily authorize the State, or any contractor or other entity that processes subsidy payments I receive from the State, to deduct from my earnings and to pay to CCPU-CA/Local 99 an amount equal to the regular monthly CCPU-CA/Local 99 membership dues. This authorization shall remain in effect unless I revoke it by sending written notice via U.S. mail to Local 99's headquarters during the fifteen (15) day periods before either: (1) the anniversary date of this agreement or (2) the date of termination of the applicable contract between the State and CCPU-CA/ Local 99. This authorization shall be automatically renewed from year to year unless I revoke it in writing during a window period, even if I have resigned my membership.
This authorization is voluntary and is not a condition of my work as a child care provider, and I can decline to agree to it without reprisal. I understand that all members benefit from everyone's commitments because they help to build a strong union that is able to plan for the future.
Contributions or gifts to CCPU/Local 99 are not tax deductible as charitable contributions.
Public education is funded by local, state and federal governments. That means as employees in public education, the work we do is directly affected by policy decisions. The school board members we elect vote on our contracts. State leaders decide on the education budget and how much money goes to local school districts and agencies. Federal officials decide on funding for school transportation, special education, lunch programs, child care services, Head Start, and so much more. That’s why having a strong voice in politics is critical to our jobs, and the well-being of our communities. In addition to voting and mobilizing others to vote, we make our voices heard in politics by contributing to SEIU Local 99’s Committee on Political Education Fund (COPE). Your contribution is voluntary. Through COPE, union members can pool our money together to pass laws that support working people and elect leaders that value public education and the issues we care about. Learn more about COPE.
I hereby authorize my employer to withhold the indicated amount per month to forward to SEIU Local 99 and its successors and assigns (hereinafter “Local 99”) as a contribution to SEIU Committee on Political Education (“SEIU COPE”). If I am retired, I will remit my COPE contribution with my dues payment. By submitting this form, 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 Local 99 – 3530 Wilshire Blvd. #1800, Los Angeles, CA 90010.
Contributions or gifts to SEIU’s COPE Fund are not tax deductible as charitable contributions.
I hereby authorize the State, or any contractor or other entity that processes subsidy payments I receive from the State, to deduct from my earnings each pay period and to pay to CCPU-CA/Local 99 the amount indicated on this card 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 work as a child care provider 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 or disadvantage from CCPU-CA/Local 99 or the State; (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.
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