Teamsters 406 Authorization for Representation

Authorization for Representation

Teamsters Local Union 406
Authorization for Representation Under the National Labor Relations Act
I, the undersigned employee of...
Company*
Address of Company*
...Authorize the International Brotherhood of Teamsters (or one of its chartered Teamster Local Unions) to represent me in negotiations for better wages, hours and working conditions.
Name*
Date*

MonthDayYear
Date
Address*

Street address

Street Address Line 2

CityState

Zip
Email*
example@example.com
Phone*
Job Classification*
Department*
Shift*
Signature*

Clear
This is not a dues deduction card
Should be Empty: