Language
English (US)
Spanish (Latin America)
Date
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I, the undersigned, hereby apply for admission to membership in the above Teamsters Local Union No. 14 and voluntarily choose and designate it as my representative for purposes of collective bargaining, hereby revoking any contrary designation. If admitted to membership, I agree to abide by the Constitution of the International as well as the Local Union Bylaws which are not in conflict with International laws and thereupon accept and assume the following oath of obligation: I pledge my honor to faithfully observe the Constitution and laws of the International Brotherhood of Teamsters. I pledge that I will comply with all the rules and regulations for the government of the International Union and this Local Union. I will faithfully perform all the duties assigned to me to the best of my ability and skill. I will conduct myself at all times in a manner as not to bring reproach upon my Union. I shall take an affirmative part in the business and activities of the Union and accept and discharge my responsibilities during any authorized strike or lockout. I will never discriminate against a fellow worker on account of creed, color or nationality. I will at all times bear true and faithful allegiance to the International Brotherhood of Teamsters, and this Local Union.
Name
First Name
Middle Name
Last Name
Date of Birth
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Month
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Day
Year
Date
Occupation
Phone Number
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Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Employer
Hourly Wage
Employment Date
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Month
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Day
Year
Date
Employer Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employer Phone Number
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Area Code
Phone Number
Initiation Fee $
Paid To
Date
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Month
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Date
Social Security No.
Have you ever been a member of a Teamster Union?
yes
no
If yes, what Local Union No.
All initiation money left on deposit of applicant shall be considered forfeited in 30 days.
Beneficiary - Local 14 Provided Life Insurance
Relationship
Address of Beneficiary
Signature
Clear
I, the undersigned, hereby authorize my employer to deduct from my wages each and every month an amount equal to the monthly dues, initiation fees and uniform assessments of Local Union 14, and direct such amounts so deducted to be turned over each month to the Secretary-Treasurer of such Local Union for and on my behalf. This authorization is voluntary and is not conditioned on my present or future membership in the Union. This authorization and assignment shall be irrevocable for the term of the applicable contract between the union and the employer or for one year, whichever is the lesser, and shall automatically renew itself for successive yearly or applicable contract periods thereafter, whichever is lesser, unless I give written notice to the company and the union at least sixty (60) days, but not more than seventy-live (75) days before any periodic renewal date of this authorization and assignment of my desire to revoke same.
Signature
Clear
Social Security No.
Date
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Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employer
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