Effect of Stop Dues Deduction. An employee who is not participating in the Union dues deduction program shall not be eligible to participate in the additional insurance programs offered by the Union or any other deduction, with the exception of the supplemental life insurance program. No other deductions wherein funds will be remitted to the Union will be permitted. NOTICE TO EMPLOYER AND IAFF AUTHORIZATION FOR DEDUCTIONS I hereby authorize my Employer to deduct from my salary each pay period my Union dues as certified to the Employer by the Union. I hereby authorize my Employer to deduct from my salary each pay period contributions as indicated below and as certified to the Employer by the Union. DUES PREPAID LEGAL $ FLAME PFF INSURANCE LIFE INS. (CATEG.) AFLAC CANCER (CATEG.) FIREFIGHTERS CHARITY FUND $ OTHER TOTAL $ BI-WEEKLY DEDUCTION I understand that these authorizations are voluntary and I may revoke them at any time by giving my Employer and the Union thirty (30) days advance notice. DATE SIGNED JOB TITLE (PRINT) LAST NAME, FIRST, M.I. DEPT/DIV/ACTIVITY/PAYROLL # SOCIAL SECURITY NUMBER Union Official Date: INCREASE MY TOTAL DEDUCTION FROM $ TO $ (Original and copy to Labor Relations Office) 10/2011 NOTICE TO EMPLOYER AND IAFF STOP DEDUCTION NOTICE (CHECK APPROPRIATE LINES) I hereby instruct my Employer, and advise the Union, to stop deducting from my salary my Union dues. It is understood that my deductions for other programs that I may have selected will also stop. I hereby instruct my Employer, and advise the Union, to stop deducting my contribution for the following programs: $ FLAME LIFE INSURANCE CANCER INSURANCE PREPAID LEGAL PFF INSURANCE AFLAC $ FIREFIGHTERS CHARITY FUND OTHER This form is executed willfully and it is understood it will take thirty (30) days to execute the stop deduction. DATE SIGNED JOB TITLE DEPT/DIV/ACTIVITY/PAYROLL NO. SOCIAL SECURITY NUMBER Union Official Date: DECREASE MY TOTAL DEDUCTION FROM $ To (Original and copy to Labor Relations Office)
Effect of Stop Dues Deduction. An employee who is not participating in the Union dues deduction program shall not be eligible to participate in the additional insurance programs offered by the Union or any other deduction, with the exception of the supplemental life insurance program. No other deductions wherein funds will be remitted to the Union will be permitted.
