SEIU Local 49 Union Authorization Card

SEIU Local 49 Union Authorization Card
UNION PETITION FORM*

I believe that by working together we can make life better for our patients, our communities, and our own families. I therefore authorize Service Employees International Union (SEIU) Local 49 to represent me in collective bargaining with my employer.
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer*
Department/Job Title*
Today's Date*

MonthDayYear
Date
Your right to sign this card is protected by state and federal law.Union Authorization: Yes, I agree to all statements under "Union Petition Form". *

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If you have any questions, please contact Josh Springer at: 503-360-5062 or joshs@seiu49.org
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