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ASEA/AFSCME Local 52, AFL-CIO

Union Membership & Dues Deduction Authorization Form

YES! I choose to be a union member. I understand that by becoming a union member I will make our union stronger to protect jobs, public service employees, and the services we provide!

About Me

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My Union

Protecting pay, working conditions, worker rights and member benefits for you is our number one priority. Our power depends on union members like you standing up for our rights as valuable public employees. Getting active in our union democracy is one of the most critical rights you have as a member. Let us know how you would like to get involved in our union.

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Work Information

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Personal/Contact Information

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Please Correct Email Address

Your copy of this form will be sent to the email above.


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Home email and cell phone information will be kept confidential by ASEA and AFSCME, and will be used for official ASEA Union purposes only. By providing my cell phone number, I understand that the Union and its affiliates may use automated call technology and/or send text messages on a periodic basis. The Union will not charge for text alerts. Carrier rates may apply.


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I Choose to be a Member of ASEA

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I hereby apply for or commit to maintain my membership in ASEA/AFSCME Local 52 and I agree to abide by its Constitution and Bylaws. By this application, I authorize ASEA/AFSCME Local 52 and its successor or assign, (hereafter referred to as ASEA or the “Union”), to act as my exclusive bargaining representative for purposes of collective bargaining with respect to wages, hours and other terms and conditions of employment with my Employer.

Effective immediately, I hereby voluntarily authorize and direct my Employer to deduct from my pay each pay period, regardless of whether I am or remain a member of ASEA, the amount of dues as certified by ASEA, and as they may be adjusted periodically by ASEA. I further authorize my Employer to remit such amount monthly to ASEA. My decision to pay my dues by way of payroll deduction, as opposed to other means of payment, is voluntary and not a condition of my employment.

This voluntary authorization and assignment shall be irrevocable, regardless of whether I am or remain a member of ASEA, 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 not less than ten (10) days and not more than twenty (20) days before the end of any yearly period. Employees must inform the Union of any promotion or transfer to a position outside the bargaining unit. This card supersedes any prior dues authorization card I signed.

Payments to the Union are not deductible as charitable donations for federal income tax purposes. However, they may be tax deductible as ordinary and necessary business expenses.


By clicking “I AGREE,” you are agreeing to sign this form by electronic means. Clicking “I AGREE” constitutes your electronic signature and will result in the submission of your signed form to ASEA. Both you and ASEA agree that any record containing your electronic signature shall be deemed for all purposes to have been signed and will constitute an original when printed from electronic records established and maintained by ASEA or its agents in the normal course of business. You do not have to sign this or any other forms electronically, and ASEA will provide you a paper copy of this form at your request. You also may update your contact information and/or request a paper copy or electronic record of this form, for no fee, by contacting ASEA at the address or phone number listed above.

Your copy is available immediately after the form is submitted and will be sent as an attachment to the address provided above. Please sign and return to ASEA using the instructions provided.



Your copy is available immediately after the form is submitted and will be sent as an attachment to the address provided above.