Your contribution will be used to support leaders who stand up for working people and our communities and allows us to support policies which improve workers' healthcare, workload, pay and safety. I hereby authorize my employer to withhold the indicated amount per month to forward to SEIU6 Property Services NW as a contribution to SEIU6 Worker Power Fund. My signature shows that I agree with the terms below.
This authorization is made voluntarily based on my specific understanding that: 1) I am not required to sign this form or make voluntary contributions to SEIU6 Worker Power Fund as a condition of my employment or membership in the union; 2) I may refuse to contribute without reprisal; 3) Under law, only union members and executive/administrative staff who are U.S. Citizens or lawful permanent residents are eligible to contribute to Worker Power Fund; 4) The contribution amounts on this form are merely suggestions, and I may contribute more or less by this or other means without fear of favor or disadvantage from SEIU6 or my employer; 5) Worker Power Fund uses the money it receives for political purposes - including, but not limited to, making contributions to and expenditures on behalf of candidates for federal, state, and local offices - and addressing political issues of public importance. This authorization shall remain in effect until revoked by me in writing via U.S. mail to SEIU6. * I hereby authorize SEIU6 Property Services NW to file this payroll deduction on my behalf with my employer, and any subsequent employer, and for my employer to forward that amount to the SEIU6 Work Power Fund on a monthly basis in accordance with the collective bargaining agreement.
**Contributions or gifts to SEIU6 Worker Power Fund (COPE) are not tax deductible as charitable contributions.