Public Sector Organizing

Authorization For Representation – English

I, the undersigned employee of Employer

Department

voluntarily and of my own free will, hereby authorize Local 330, affiliated with the International Brotherhood of Teamsters, to represent me in negotiations for better wages, hours and working conditions and a signed contract.

Furthermore, I acknowledge that by signing this card, this card can be used by Local 330 to obtain certification as my exclusive bargaining representative if a majority of my coworkers in an appropriate unit sign evidence of majority support without an election.

Name

Date

Home Address (City, State and Zip Code)

Social Security Number

Phone

Signature (type in full name)

THIS CARD IS CONFIDENTIAL. YOUR EMPLOYER NEVER SEES IT.

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Authorization For Representation – Spanish

Autorización de Representación Bajo el Mandato de Relaciones Laborales Nacionales

Yo, come empleado de esta compañía

(Nombre)

Dirección

autorizo a la Unión Local de Teamsters Número 330, afiliada a la Hermandad Internacional de Teamsters a representarme en negociaciones laborales como: mejoramientos en condiciones de trabajo, salarios y horas de trabajo.
(FAVOR DE ESCRIBIR EN LETRAS DE MOLDE)

Nombre

Fecha

Dirección de Domicilio (Ciudad, Estado & Zona

Seguro Social

Teléfono

Descripción de Empleo

Turno

Firma

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