Membership Card

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

First Name

Middle Initial

Last Name

Street Address

Apartment, Suite, etc.

City

State

Postal Code

Employer

Occupation/Job Title

Department

Date of Hire

Personal Email

Cell Phone †

† By providing my cell phone number I consent to receive calls (including recorded or autodialed calls, or texts) at that number from AFSCME and its affiliated labor, political and charitable organizations on any subject matter. My carrier’s rates may apply.

Authorization Card

YES, I want to be represented by AFSCME Council 28/Washington Federation of State Employees (AFSCME/WFSE) for the purpose of collective bargaining. This serves as my union authorization card and serves as my yes vote in the case of a card check election.

YES, I want to be a union member.

YES, effective immediately or upon execution of a collective bargaining agreement that covers the terms and conditions of my employment, I hereby voluntarily authorize and direct my employer to deduct from my pay each pay period, an amount equivalent to dues as set in accordance with the Washington Federation of State Employees (WFSE) Constitution and By-Laws and authorize my employer to remit such amount semi-monthly to the Union (currently 1.5% of my salary per pay period not to exceed the maximum). This voluntary authorization and assignment shall be irrevocable for a period of one year from the date of execution or until the termination date of the collective bargaining agreement (if there is one) between the employer and the Union, whichever occurs sooner, and for year to year thereafter unless I give the employer and the union written notice of revocation prior to the end of any yearly period, regardless of whether I am or remain a member of the Union, unless I am no longer in active pay status in a WFSE bargaining unit; provided however, if the applicable collective-bargaining agreement specifies a longer or different revocation period, then only that period shall apply. This card supersedes any prior check-off authorization card I signed. 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.

NO, I do not want to be a union member.

NO, I understand that I am giving up the right to participate in union activities, trainings, and events. I will be unable to vote to accept (or reject) my union contract or proposed changes in wages and benefits as a result of negotiations, and to vote in union elections or for union officers. I will not be eligible to participate in union-management meetings regarding my workplace concerns. I will not be eligible for member-only benefits. I understand that by choosing NOT to become a WFSE union member I still must pay a union representation fee. As a non-member I authorize the deduction from my earnings each payroll period of the union representation fee in accordance with the collective bargaining agreement and as allowed by law.

Beck Notice Received

YES, I have received a copy of the federally required Beck notice at https://www.wfse.org/beck and understand that I have the right to join the union as a full-fledged member or to become a representation fee payer of the bargaining unit.

Signature

My electronic signature is a binding and valid signature. By signing here I agree to all of the terms and conditions set out in this authorization, which apply to my membership, dues payments and, if applicable, PEOPLE payments.