Terms and Conditions
I hereby designate SEIU Local 521 (or any successor Union entity) as my desired collective bargaining agent.
I also hereby authorize my employer to deduct from my wages, commencing with the next payroll period, all Union dues and other fees or assessments as shall be certified by SEIU Local 521 (or any successor union entity) and to remit those amounts to such Union.
This authorization/delegation is unconditional, made in consideration for the cost of representation and other actions in my behalf by the Union and is made irrespective of my membership in the Union. This authorization is irrevocable for a period of one year from the date of execution and from year to year thereafter, unless not less than thirty (30) days and not more than forty-five (45) days prior the end of any annual period or the termination of the contract between my employer and the Union, whichever occurs first, or if I notify the Union and my employer in writing, with my valid signature, of my desire to revoke this authorization, or in accordance with the agreement between SEIU Local 521 and my employer, whichever is appropriate.