IBEW AUTHORIZATION FOR REPRESENTATION

IBEW AUTHORIZATION FOR REPRESENTATION
I authorize the International Brotherhood of Electrical Workers LU 465 to represent me as my bargaining representative in collective bargaining with my employer.
Date*

MonthDayYear
Date
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Street Address*
City*
State*
Zip*
Employer*
Location*
Department*
Job Title*
Supervisior*
What is your current work shift?*
I wish to have International Brotherhood of Electrical Workers Local 465 represent me as my exclusive bargaining representative for wages, hours, and other terms and conditions of employment. I understand that if over 50% of eligible employees in the department sign an authorization card, an election will not be necessary for me to be represented by the Union.
Signature (finger sign)*

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