New Membership & Renewal


Authorization for Payroll Deduction & Representation

The details

I hereby request and accept membership in WASHINGTON STATE COUNCIL OF COUNTY AND CITY EMPLOYEES/AFSCME Council 2, and its affiliated local(Union). I authorize the Union to act as my exclusive representative in collective bargaining with my employer over wages, hours of work, and other conditions of employment and compensation. I hereby voluntarily authorize and direct my employer to deduct from my pay each month, the amount of Union dues and fees as certified by Council 2. My employer shall pay the amount deducted each month to Council 2. I understand that my membership in the Union, and this payroll deduction authorization, is voluntary and not a condition of my employment. I understand that I can cancel my union membership at any time. Whether I am a union member or not, this payroll deduction authorization is irrevocable for a period of one year, and year to year thereafter, unless I provide a written termination notice to the Union not less than thirty (30) and not more that forty-five (45) days prior to the annual anniversary date of this authorization, or unless I separate from employment, whichever occurs first. The written termination notice must be signed by me and sent directly to the Union President at the Union office in Everett. I understand the Union only accepts instructions or requests regarding my membership sent directly from me to the Union office in Everett, and will not accept anything sent by third parties or other representatives. This authorization has the same force and effect whether executed in writing or electronically.

Signature (Hover mouse in box. Click, hold, and drag mouse to draw your signature):