IBEW LINEMAN AUTHORIZATION FOR REPRESENTATION

IBEW AUTHORIZATION FOR REPRESENTATION
I authorize a Local of the International Brotherhood of Electrical Workers to represent me in collective bargaining with my present and future employers on all present and future job sites within the jurisdiction of the Union. This Authorization is non-expiring, binding, and valid until such time as I submit a written revocation.
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Name*

First NameLast Name
Email*
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Phone Number*
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Street Address*
City*
State*
Zip*
Employer*
Location*
Department*
Job Title*
IBEW Authorization*

I Agree - By checking this box I understand and acknowledge that I am authorizing the International Brotherhood of Electrical Workers to represent me as my bargaining representative in collective bargaining with my employer. This Authorization is non-expiring binding and valid until such time as I submit a written revocation.
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IBEW AUTHORIZATION FOR REPRESENTATION