1199 Massachusetts United Healthcare Workers East Membership Application

By providing my phone number, I understand that 1199SEIU may send me automated calls and/or text messages on a periodic basis. 1199SEIU will never charge for alerts, but carrier message and data rates may apply. Text STOP to stop receiving messages or email [email protected].

Membership Agreement

Membership in 1199SEIU is without regard to race, color, sex, sexual orientation, age, disability, religion, national origin, political belief or affiliation. YES, I want to join healthcare workers across the state for a stronger voice for quality healthcare, living wages, and good benefits. I accept and voluntarily request membership in 1199SEIU United Healthcare Workers East and its successors and assigns (collectively “1199SEIU”) and designate 1199 to act for me as collective bargaining agent in all matters pertaining to conditions of employment. This means that I will receive the benefits and abide by the obligations of membership set forth in the Constitutions and bylaws of both 1199SEIU and the Service Employees International Union.

My membership will be continuous, unless I resign by providing notice to 1199SEIU via U.S. mail. I know that Union membership is voluntary and not a condition of employment, and that I can decline to join without reprisal.

Check Off Authorization

I recognize the need for a strong Union and believe everyone represented by our Union should pay their fair share to support our Union’s activities. You are authorized and directed to deduct my monthly membership dues from my wages or salary as required by 1199SEIU as a condition of my membership; and to remit all such deductions to 1199SEIU United Healthcare Workers East, 498 Seventh Avenue, New York, NY 10018, no later than the tenth day of each month immediately following the date of deduction, or pursuant to the date provided in the Collective Bargaining Agreement. This deduction is a voluntary act on my part. I understand that it is not a condition of my employment, and I can decline to agree to it without reprisal. This dues deduction authorization shall remain in effect unless I revoke it by providing notice to 1199SEIU via U.S. mail (or other method if permitted by 1199SEIU’s policies) at 498 Seventh Ave NY, NY 10018 within 15 days before or after (1) the annual anniversary date of this agreement or (2) the termination of the applicable collective bargaining agreement between my employer and union (“my window periods”). This authorization will renew automatically from year to year even if I have resigned my membership, unless I revoke during one of my window periods and as required by 1199SEIU policies.

I acknowledge that contributions, gifts, and dues payments to 1199SEIU United Healthcare Workers East are not tax deductible as charitable contributions.