CRONA Membership Dues Or Service Fee Deductions. The authorization form for payroll deductions of dues or service fees shall be as follows: To: Xxxxxx Xxxxxxx Children’s Hospital: For each pay period during which I work for Xxxxxx Xxxxxxx Children’s Hospital while this Authorization is in effect, I hereby direct that, from my earnings now or hereafter payable to me from the Employer, there be paid to CRONA my CRONA membership dues or an equivalent service fee as indicated below, and I hereby authorize and direct you to deduct such sums from my earnings and pay the same for my account to CRONA. You are hereby authorized to deduct such sums from my earnings payable each pay period. I hereby authorize that this deduction of CRONA dues or equivalent service fee be given priority after all State and Federal deductions required by law and deductions for medical premiums have been met. The money deducted from my earnings shall be paid by the Employer to CRONA in such a manner as from time to time agreed upon between CRONA and the Employer. This authorization shall be automatically canceled at such time as I am no longer employed in the bargaining unit represented by CRONA but shall otherwise remain in effect unless I revoke it by sending written notice to the Employer by registered mail, said revocation to become effective thirty (30) days after the revocation is received by the Employer. This authorization is entirely voluntary on my part. Check one box only: Membership Dues Service Fees Print Name Address Signature Last 4 digits of Social Security Number Date Personal/Home email address (Please print) (Optional)
Appears in 2 contracts
Samples: Agreement Between Lucile Salter Packard Children’s Hospital and Committee for Recognition of Nursing Achievement (Crona), Collective Bargaining Agreement
CRONA Membership Dues Or Service Fee Deductions. The authorization form for payroll deductions of dues or service fees shall be as follows: To: Xxxxxx Xxxxxxx Xxxxxx Packard Children’s HospitalHospital at Stanford: For each pay period during which I work for Xxxxxx Xxxxxxx Xxxxxx Packard Children’s Hospital at Stanford while this Authorization is in effect, I hereby direct that, from my earnings now or hereafter payable to me from the Employer, there be paid to CRONA my CRONA membership dues or an equivalent service fee as indicated below, and I hereby authorize and direct you to deduct such sums from my earnings and pay the same for my account to CRONA. You are hereby authorized to deduct such sums from my earnings payable each pay period. I hereby authorize that this deduction of CRONA dues or equivalent service fee be given priority after all State and Federal deductions required by law and deductions for medical premiums have been met. The money deducted from my earnings shall be paid by the Employer to CRONA in such a manner as from time to time agreed upon between CRONA and the Employer. This authorization shall be automatically canceled at such time as I am no longer employed in the bargaining unit represented by CRONA but shall otherwise remain in effect unless I revoke it by sending written notice to the Employer by registered mail, said revocation to become effective thirty (30) days after the revocation is received by the Employer. This authorization is entirely voluntary on my part. Check one box only: □ Membership Dues □ Service Fees Print Name Address Signature Last 4 digits of Social Security Number SecurityNumber Date Personal/Home email address (Please print) (Optional)) 6.1 New Hires
Appears in 1 contract
Samples: Collective Bargaining Agreement
CRONA Membership Dues Or Service Fee Deductions. The authorization form for payroll deductions of dues or service fees shall be as follows: To: Xxxxxx Xxxxxxx Xxxxxx Packard Children’s HospitalHospital at Stanford: For each pay period during which I work for Xxxxxx Xxxxxxx Xxxxxx Packard Children’s Hospital at Stanford while this Authorization is in effect, I hereby direct that, from my earnings now or hereafter payable to me from the Employer, there be paid to CRONA my CRONA membership dues or an equivalent service fee as indicated below, and I hereby authorize and direct you to deduct such sums from my earnings and pay the same for my account to CRONA. You are hereby authorized to deduct such sums from my earnings payable each pay period. I hereby authorize that this deduction of CRONA dues or equivalent service fee be given priority after all State and Federal deductions required by law and deductions for medical premiums have been met. The money deducted from my earnings shall be paid by the Employer to CRONA in such a manner as from time to time agreed upon between CRONA and the Employer. This authorization shall be automatically canceled at such time as I am no longer employed in the bargaining unit represented by CRONA but shall otherwise remain in effect unless I revoke it by sending written notice to the Employer by registered mail, said revocation to become effective thirty (30) days after the revocation is received by the Employer. This authorization is entirely voluntary on my part. Check one box only: □ Membership Dues □ Service Fees Print Name Address Signature Last 4 digits of Social Security Number Date Personal/Home email address (Please print) (Optional)
Appears in 1 contract
Samples: Collective Bargaining Agreement
CRONA Membership Dues Or Service Fee Deductions. The authorization form for payroll deductions of dues or service fees shall be as follows: To: Xxxxxx Xxxxxxx Children’s Hospital: For each pay period during which I work for Xxxxxx Xxxxxxx Children’s Hospital while this Authorization is in effect, I hereby direct that, from my earnings now or hereafter payable to me from the Employer, there be paid to CRONA my CRONA membership dues or an equivalent service fee as indicated below, and I hereby authorize and direct you to deduct such sums from my earnings and pay the same for my account to CRONA. You are hereby authorized to deduct such sums from my earnings payable each pay period. I hereby authorize that this deduction of CRONA dues or equivalent service fee be given priority after all State and Federal deductions required by law and deductions for medical premiums have been met. The money deducted from my earnings shall be paid by the Employer to CRONA in such a manner as from time to time agreed upon between CRONA and the Employer. This authorization shall be automatically canceled at such time as I am no longer employed in the bargaining unit represented by CRONA but shall otherwise remain in effect unless I revoke it by sending written notice to the Employer by registered mail, said revocation to become effective thirty (30) days after the revocation is received by the Employer. This authorization is entirely voluntary on my part. Check one box only: Membership Dues Service Fees Print Name Address Signature Last 4 digits of Social Security Number Date Personal/Home email address (Please print) (Optional)
Appears in 1 contract
Samples: Collective Bargaining Agreement