Common use of Check-Off Authorization Form Clause in Contracts

Check-Off Authorization Form. The parties agree that the check-off authorizations shall be in the following form: ASSIGNMENT AND AUTHORIZATION TO DEDUCT GUILD MEMBERSHIP DUES To: Foreign Policy I hereby assign to the Washington-Baltimore News Guild, Local 32035 The NewsGuild-CWA, and authorize Foreign Policy to deduct twice monthly from any salary earned or to be earned by me as an employee, an amount equal to Guild initiation fees and dues as certified by the Treasurer of the Guild starting in the first week in the month following the date of this assignment. I further authorize and request FP to remit the amount deducted to the Guild not later than the 30th day of each month. This assignment and authorization shall remain in effect until revoked by me, but shall be irrevocable for a period of one year from the date appearing below or until the termination of the contract between FP and the Guild, whichever occurs sooner. I further agree and direct that this assignment and authorization shall be continued automatically and shall be irrevocable for successive periods of one year each or for the period of each succeeding applicable contract between FP and the Guild, whichever period shall be shorter, unless written notice of its revocation is given by me to FP and to the Guild not more thirty (30) days and not less than fifteen (15) days prior to the expiration of each period of one year, or upon expiration of the contract between FP and the Guild, whichever occurs sooner. Such notice of revocation shall become effective for the calendar month following the calendar month in which FP receives it. This Assignment and authorization is voluntarily made in order to pay my equal share of the Guild’s costs of operation and is not conditioned on my present or future membership in the Guild. I agree to hold FP harmless against any and all claims and liability for or on account of the deductions made from my wages or other earnings and remitted to the Washington-Baltimore News Guild, TNG-CWA Local 32035. Print Name: Employee Signature: Date:

Check-Off Authorization Form. The parties agree that the check-off authorizations authorization shall be in the following form: ASSIGNMENT AND AUTHORIZATION TO DEDUCT GUILD MEMBERSHIP DUES To: Foreign Policy Jobs With Justice Education Fund I hereby assign to the Washington-Baltimore News Guild, Local 32035 The NewsGuildNews Guild-CWA, and authorize Foreign Policy JWJEF to deduct twice monthly from any salary earned or to be earned by me as an employee, an amount equal to Guild initiation fees fees, dues and dues assessments as certified by the Treasurer of the Guild starting in the first week in the month following the date of this assignment. I further authorize and request FP JWJEF to remit the amount deducted to the Guild not later than the 30th day of each month. This assignment and authorization shall remain in effect until revoked by me, but shall be irrevocable for a period of one year from the date appearing below or until the termination of the contract between FP JWJEF and the Guild, whichever occurs sooner. I further agree and direct that this assignment and authorization shall be continued automatically and shall be irrevocable for successive periods of one year each or for the period of each succeeding applicable contract between FP JWJEF and the Guild, whichever period shall be shorter, unless written notice of its revocation is given by me to FP JWJEF and to the Guild by registered mail not more than thirty (30) days and not less than fifteen (15) days prior to the expiration of each period of one year, or upon expiration of the each applicable contract between FP JWJEF and the Guild, whichever occurs sooner. Such notice of revocation shall become effective for the calendar month following the calendar month in which FP JWJEF receives it. This Assignment assignment and authorization is voluntarily made in order to pay my equal share of the Guild’s 's costs of operation and is not conditioned on my present or future membership in the Guild. I agree to hold FP harmless against any and all claims and liability for or on account of the deductions made from my wages or other earnings and remitted to the Washington-Baltimore News Guild, TNG-CWA Local 32035. Print Name: Employee Signature: Name Employee’s Signature ` Date:

Check-Off Authorization Form. The parties agree that the check-off authorizations authorization shall be in the following form: ASSIGNMENT AND AUTHORIZATION TO DEDUCT GUILD MEMBERSHIP DUES To: Foreign Policy Jobs with Justice/American Rights at Work I hereby assign to the Washington-Baltimore News Newspaper Guild, Local 32035 The NewsGuildNewspaper Guild-CWA, and authorize Foreign Policy JWJ-ARAW to deduct twice monthly from any salary earned or to be earned by me as an employee, an amount equal to Guild initiation fees fees, dues and dues assessments as certified by the Treasurer of the Guild starting in the first week in the month following the date of this assignment. I further authorize and request FP JWJ-ARAW to remit the amount deducted to the Guild not later than the 30th day of each month. This assignment and authorization shall remain in effect until revoked by me, but shall be irrevocable for a period of one year from the date appearing below or until the termination of the contract between FP JWJ-ARAW and the Guild, whichever occurs sooner. I further agree and direct that this assignment and authorization shall be continued automatically and shall be irrevocable for successive periods of one year each or for the period of each succeeding applicable contract between FP JWJ-ARAW and the Guild, whichever period shall be shorter, unless written notice of its revocation is given by me to FP JWJ-ARAW and to the Guild by registered mail not more than thirty (30) days and not less than fifteen (15) days prior to the expiration of each period of one year, or upon expiration of the each applicable contract between FP JWJ-ARAW and the Guild, whichever occurs sooner. Such notice of revocation shall become effective for the calendar month following the calendar month in which FP JWJ-ARAW receives it. This Assignment assignment and authorization is voluntarily made in order to pay my equal share of the Guild’s 's costs of operation and is not conditioned on my present or future membership in the Guild. I agree to hold FP harmless against any and all claims and liability for or on account of the deductions made from my wages or other earnings and remitted to the Washington-Baltimore News Guild, TNG-CWA Local 32035. Print Name: Employee Signature: Name Employee’s Signature Date: