Authorization for Representation
I, the undersigned, hereby authorize the International Association of Sheet Metal, Air, Rail and Transportation Workers, or an affiliated Local Union thereof, to negotiate and conclude all agreements as to hours of labor, wages, and other conditions of employment. This authorization shall apply for any Employer by whom I am employed, unless revoked by me through written notice to the Local Union.
Name
*
First Name
Last Name
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
About Your Employer
Employer Name
*
Employer Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Shift (if not applicable, please indicate n/a)
*
Classification
*
Wage Rate
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Signature
*
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