UIC HSU Union Card

AUTHORIZATION FOR REPRESENTATION

University of Illinois-Chicago - OPEIU Local 39
Joining together gives us a voice in making our workplace better for everyone. By completing the form below and clicking "submit," I am authorizing OPEIU Local 39 to represent me for the purpose of collective bargaining with my employer, University of Illinois Chicago. My right to submit this authorization is protected by law.
Date*

MonthDayYear
Date
Print Name*
Cell/Home Phone*
Home Address*
Apt #
City*
State*
Zip*
Personal Email*
example@example.com
Job Title*
Dept/Unit/Building (Ex. ARC, West Desk, etc)*
Do you consent to receive periodic text message (SMS) alerts from OPEIU 39?(Message & data rates may apply).

YES, I consent to receive automated recurring messages with text alerts from OPEIU 39 on breaking news, important events, and key issues related to my Union. Reply HELP for help, and STOP to opt-out. Msg&Data Rates May Apply. SMS SHARING DISCLOSURE: No mobile data will be shared with third parties/affiliates for marketing/promotional purposes at any time.
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If a majority of the employees in the bargaining unit sign authorization cards, these cards may be used to obtain recognition without an election.

(Source: Amended at 41 III. Reg. 10587, effective August 1, 2017)
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AUTHORIZATION FOR REPRESENTATION