• AUTHORIZATION FOR IBEW DUES DEDUCTION

    AUTHORIZATION FOR IBEW DUES DEDUCTION

    IBEW Local 1204, 1209 & 1211
  • I         , an employee of Mississippi Power do hereby authorize the Company to deduct either the "A or BA" membership dues from my wages in the amount equal to 1-hour pay for my classification, plus applicable International Per Capita Tax established by Local Union bylaws of Local Union 1204, 1209, and 1211 and remit said sum to the International Brotherhood of Electrical Workers, AFL-CIO of which I am a member, as my regular monthly membership dues. These dues may be deducted during a period most convenient to the Company.

    I understand that the Agreement is voluntary and I may revoke it at any time by advising the Company or Union in writing of this revocation. I also understand that the deductions will cease at any time my employment in a classification covered by the bargaining agreement under which the dues deducted is terminated.

    This payroll deduction authorization shall put no liability of any kind upon the Company as a result of the Company deducting or failing to deduct said dues as specified in the authorization.

  • Dues Deduction Option*
  • Date Signed*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Distribution:

    Employee Relations Department

  • Should be Empty: