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AFT-Healthcare-Maryland Payroll Deduction Authorization
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Please tell us about your interests
I will stand with my colleagues and be an active member our union
I would like to speak to an organizer/leader about our union, profession and/or ideas for action
I would like to learn more about union rights and benefits
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Select your membership category
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Full-Time dues Rate Bi-weekly Per Pay Period
Dues Amount
$0.00
Total
* draft
COPE Amount
By donating to COPE, we’re able to fight for your pension, good legislation, and elected officials who support you and your professions. Donating to COPE is the most effective way for your voice to be heard.
COPE Amount Values
$0
$1
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Other Amount
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Authorize
Membership Commitment: I hereby apply for and voluntarily accept membership in AFT Healthcare MD (“the Union”) and agree to abide by its Constitution and Bylaws. I authorize the Union to act as my exclusive representative in collective bargaining over wages, hours, and other terms and conditions of employment with my employer, and to provide such other representation as permitted by applicable law, regulation, and policy. Except as otherwise provided by the Constitution and Bylaws, my membership in the Union shall be continuous unless I notify the Union in writing that I intend to resign.
Payment Authorization: I hereby authorize the State of Maryland or its political subdivisions, all counties and municipalities, as appropriate, to deduct from my earnings such dues, as are established by the Union in consideration for the services the Union provides. I understand that those dues are subject to periodic change by the governing body of the Union. I voluntarily authorize on a continuing basis, and regardless of my membership status, the payment of those dues established by the Union through payroll deduction or other arrangement unless I revoke this authorization in a signed writing sent to afthealthcare@afthcmd.org via email, between August 12 and August 26. I UNDERSTAND THAT THIS AGREEMENT IS VOLUNTARY AND IS NOT A CONDITION OF EMPLOYMENT AND THAT I HAVE THE LEGAL RIGHT TO REFUSE TO SIGN THIS AGREEMENT WITHOUT SUFFERING ANY REPRISAL.
Authorize COPE
If signed below, I authorize a deduction from my salary, the sum indicated each pay period and the forwarding of that amount to AFT-Healthcare-Maryland Committee on Political Education. This authorization is signed voluntarily with the understanding that the COPE committee is engaged in joint fundraising efforts with the AFT/AFL-CIO and will use the money contributed to that effort to make political contributions and expenditures in connection with federal, state and local elections. This voluntary COPE authorization may be revoked at any time by notifying the appropriate COPE committee in writing. Employees have the right to not contribute without any reprisal and will not be favored or disadvantaged because they have exercised this right. Contributions or gifts to the COPE committees are not deductible as charitable contributions for federal income tax purposes.
COPE DISCLOSURE: I hereby authorize a monthly contribution to the COPE in the amount indicated above. This authorization is signed freely and voluntarily and not out of any fear of reprisal, and I will not be favored nor disadvantaged because I exercise this right. I understand this money will be used to make political contributions. COPE may engage in joint fundraising efforts with AFT COPE and/or the AFL‐CIO. This voluntary authorization may be revoked at any time by notifying COPE in writing of the desire to do so. Contribution or gifts to COPE are not deductible as charitable contributions for federal income tax purposes. Contributions cannot be reimbursed or otherwise paid by any other person or entity.
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