MSEA-SEIU Local 1989 PASER "*" indicates required fields CommentsThis field is for validation purposes and should be left unchanged.Hold Politicians Accountable with MSEA-SEIU PASER! Yes! I want to hold politicians accountable to working families and I know we can only do that if we stand together. I hereby authorize my employer to withhold the indicated amount per paycheck to forward to SEIU Local and its successors and assigns (hereinafter “MSEA 1989”) as a contribution to SEIU Committee on Political Education (“SEIU COPE”). I voluntarily authorize my employer to deduct:* $30 $25 $20 $15 $10 per month from my paycheck and transfer the funds to MSEA 1989 – COPE. My signature shows that I have reviewed and agree with the terms of this form.First Name*Last Name*Email* This authorization is made voluntarily based on my specific understanding that: 1) I am not required to sign this form or make voluntary contributions to SEIU COPE as a condition of my employment or membership in the union; 2) I may refuse to contribute without reprisal; 3) Under law, only union members and executive / administrative staff who are U.S. Citizens or lawful permanent residents are eligible to contribute to COPE; 4) The contribution amounts on this form are merely suggestions, and I may contribute more or less by this or other means without fear of favor or disadvantage from SEIU or my employer; 5) SEIU COPE uses the money it receives for political purposes – including, but not limited to, making contributions to and expenditures on behalf of candidates for federal, state, and local offices – and addressing political issues of public importance. This authorization shall remain in effect until revoked by me in writing via U.S. mail to MSEA 1989 (or other method if permitted by MSEA 1989’s policies). This authorization will remain effective if my employment with the Employer ends and I am later re-employed by the Employer. Contributions or gifts to SEIU COPE are not tax-deductible as charitable contributions.
