Excluded. C1 - chairpersons, deans, associate deans, assistant deans, directors, and all administrators above them, all employees of the school of law, all employees of the College of Medicine, chairman of the faculty senate serving on the board of trustees, managerial and confidential employees, and all other employees of The Board of Trustees of the Florida International University. NAME (Last, First MI) Panther ID Department TITLE (ie, Assistant Professor, Professor, Lecturer, Assoc In, University Librarian, Instructor) CAMPUS LOCATION OFFICE HOURS HOME ADDRESS CITY/STATE ZIP PHONE: Work Home E-MAIL I authorize the University Board of Trustees, through the University, to deduct from my pay, starting with the first full pay period commencing not earlier than seven (7) days from the date this authorization is received by the University, membership dues and uniform assessments of the United Faculty of Florida in such amount as may be established from time to time in accordance with the constitution and bylaws of the UFF and certified in writing to the Florida International University Board of Trustees by the UFF, and I direct that the sum or sums so deducted be paid over to the UFF. Dues payments to UFF are not tax deductible as charitable contributions for Federal income tax purposes. However, they may be tax deductible under other provisions of the Internal Revenue Code. This authorization shall continue until either (1) revoked by me at any time upon thirty (30) days written notice to the University Personnel Office, or (2) the discontinuance of my status within this bargaining unit for more than two consecutive semesters (i.e. Fall-Spring, Spring-Summer, or Summer-Fall). Signature (for payroll deduction authorization) Today’s Date I, authorize Florida International University to deduct from my pay, starting with the first biweekly pay period commencing not earlier than seven days from the date this authorization is received by the University, contributions to the UFF Political Action Committee in the amount of per pay period, and I direct that the sum so deducted be paid over to the UFF. Contributions to UFF-PAC are not deductible as charitable contributions for Federal income tax purposes. However, they may be tax deductible under other provisions of the Internal Revenue Code. The above deduction authorization shall continue until either (1) revoked by me at any time upon thirty days written notice to the University Human Resources Office and to the UFF, or (2) my transfer or promotion out of this bargaining unit. Signature of Member Date Department Panther ID Effective date if later than above: Return to the United Faculty of Xxxxxxx-XXX Xxxxxx, XX 000, Xxxxx, XX 00000 Or to the XXX Xxxxx Xxxxxx, 000 Xxxxx Xxxxxxx Xxxxxx, Suite 6, Tallahassee, Florida 32301. Florida International University/United Faculty of Florida APPENDIX C Date Received by Xxxxxxx or Designee: NAME : SCHOOL/COLLEGE: DEPT : NAME: MAILING ADDRESS: OFFICE PHONE: OFFICE PHONE:
Appears in 3 contracts
Samples: Collective Bargaining Agreement, Collective Bargaining Agreement, Collective Bargaining Agreement
Excluded. C1 - chairpersons, deans, associate deans, assistant deans, directors, and all administrators above them, all employees of the school of law, all employees of the College of Medicine, chairman of the faculty senate serving on the board of trustees, managerial and confidential employees, and all other employees of The Board of Trustees of the Florida International University. NAME (Last, First MI) Panther ID Department TITLE (ie, Assistant Professor, Professor, Lecturer, Assoc In, University Librarian, Instructor) CAMPUS LOCATION OFFICE HOURS HOME ADDRESS CITY/STATE ZIP PHONE: Work Home E-MAIL I authorize the University Board of Trustees, through the University, to deduct from my pay, starting with the first full pay period commencing not earlier than seven (7) days from the date this authorization is received by the University, membership dues and uniform assessments of the United Faculty of Florida in such amount as may be established from time to time in accordance with the constitution and bylaws of the UFF and certified in writing to the Florida International University Board of Trustees by the UFF, and I direct that the sum or sums so deducted be paid over to the UFF. Dues payments to UFF are not tax deductible as charitable contributions for Federal income tax purposes. However, they may be tax deductible under other provisions of the Internal Revenue Code. This authorization shall continue until either (1) revoked by me at any time upon thirty (30) days written notice to the University Personnel Office, or (2) the discontinuance of my status within this bargaining unit for more than two consecutive semesters (i.e. Fall-Spring, Spring-Summer, or Summer-Fall). Signature (for payroll deduction authorization) Today’s Date I, authorize Florida International University to deduct from my pay, starting with the first biweekly pay period commencing not earlier than seven days from the date this authorization is received by the University, contributions to the UFF Political Action Committee in the amount of per pay period, and I direct that the sum so deducted be paid over to the UFF. Contributions to UFF-PAC are not deductible as charitable contributions for Federal income tax purposes. However, they may be tax deductible under other provisions of the Internal Revenue Code. The above deduction authorization shall continue until either (1) revoked by me at any time upon thirty days written notice to the University Human Resources Office and to the UFF, or (2) my transfer or promotion out of this bargaining unit. Signature of Member Date Department Panther ID Effective date if later than above: Return to the United Faculty of Xxxxxxx-XXX Xxxxxx, XX 000, Xxxxx, XX 00000 Or to the XXX Xxxxx Xxxxxx, 000 Xxxxx Xxxxxxx Xxxxxx, Suite 6, Tallahassee, Florida 32301. Florida International University/United Faculty of Florida APPENDIX C Date Received by Xxxxxxx or Designee: NAME : SCHOOL/COLLEGE: DEPT : NAME: MAILING ADDRESS: OFFICE PHONE: OFFICE PHONE:
Appears in 2 contracts
Samples: Collective Bargaining Agreement, Collective Bargaining Agreement
Excluded. C1 - chairpersons, deans, associate deans, assistant deans, directors, and all administrators above them, all employees of the school of law, all employees of the College of Medicine, chairman of the faculty senate serving on the board of trustees, managerial and confidential employees, and all other employees of The Board of Trustees of the Florida International University. NAME (Last, First MI) Panther ID Department TITLE (ie, Assistant Professor, Professor, Lecturer, Assoc In, University Librarian, Instructor) CAMPUS LOCATION OFFICE HOURS HOME ADDRESS CITY/STATE ZIP PHONE: Work Home E-MAIL I authorize the University Board of Trustees, through the University, to deduct from my pay, starting with the first full pay period commencing not earlier than seven (7) days from the date this authorization is received by the University, membership dues and uniform assessments of the United Faculty of Florida in such amount as may be established from time to time in accordance with the constitution and bylaws of the UFF and certified in writing to the Florida International University Board of Trustees by the UFF, and I direct that the sum or sums so deducted be paid over to the UFF. Dues payments to UFF are not tax deductible as charitable contributions for Federal income tax purposes. However, they may be tax deductible under other provisions of the Internal Revenue Code. This authorization shall continue until either (1) revoked by me at any time upon thirty (30) days written notice to the University Personnel Office, or (2) the discontinuance of my status within this bargaining unit for more than two consecutive semesters (i.e. Fall-Spring, Spring-Summer, or Summer-Fall). Signature (for payroll deduction authorization) Today’s Date I, authorize Florida International University to deduct from my pay, starting with the first biweekly pay period commencing not earlier than seven days from the date this authorization is received by the University, contributions to the UFF Political Action Committee in the amount of per pay period, and I direct that the sum so deducted be paid over to the UFF. Contributions to UFF-PAC are not deductible as charitable contributions for Federal income tax purposes. However, they may be tax deductible under other provisions of the Internal Revenue Code. The above deduction authorization shall continue until either (1) revoked by me at any time upon thirty days written notice to the University Human Resources Office and to the UFF, or (2) my transfer or promotion out of this bargaining unit. Signature of Member Date Department Panther ID Effective date if later than above: Return to the United Faculty of Xxxxxxx-XXX Xxxxxx, XX 000, Xxxxx, XX 00000 Or to the XXX Xxxxx Xxxxxx, 000 Xxxxx Xxxxxxx Xxxxxx, Suite 6, Tallahassee, Florida 32301. Florida International University/United Faculty of Florida APPENDIX C Date Received by Xxxxxxx or Designee: NAME NAME: SCHOOL/COLLEGE: DEPT : NAME: MAILING ADDRESS: OFFICE PHONE: OFFICE PHONE:
Appears in 2 contracts
Samples: Collective Bargaining Agreement, Collective Bargaining Agreement
Excluded. C1 - chairpersons, deans, associate deans, assistant deans, directors, and all administrators above them, all employees of the school of law, all employees of the College of Medicine, chairman of the faculty senate serving on the board of trustees, managerial and confidential employees, and all other employees of The Board of Trustees of the Florida International University. NAME (Last, First MI) Panther ID Department TITLE (ie, Assistant Professor, Professor, Lecturer, Assoc In, University Librarian, Instructor) CAMPUS LOCATION OFFICE HOURS HOME ADDRESS CITY/STATE ZIP PHONE: Work Home E-MAIL I authorize the University Board of Trustees, through the University, to deduct from my pay, starting with the first full pay period commencing not earlier than seven (7) days from the date this authorization is received by the University, membership dues and uniform assessments of the United Faculty of Florida in such amount as may be established from time to time in accordance with the constitution and bylaws of the UFF and certified in writing to the Florida International University Board of Trustees by the UFF, and I direct that the sum or sums so deducted be paid over to the UFF. Dues payments to UFF are not tax deductible as charitable contributions for Federal income tax purposes. However, they may be tax deductible under other provisions of the Internal Revenue Code. This authorization shall continue until either (1) revoked by me at any time upon thirty (30) days written notice to the University Personnel Office, or (2) the discontinuance of my status within this bargaining unit for more than two consecutive semesters (i.e. Fall-Spring, Spring-Summer, or Summer-Fall). Signature (for payroll deduction authorization) Today’s Date I, authorize Florida International University to deduct from my pay, starting with the first biweekly pay period commencing not earlier than seven days from the date this authorization is received by the University, contributions to the UFF Political Action Committee in the amount of per pay period, and I direct that the sum so deducted be paid over to the UFF. Contributions to UFF-PAC are not deductible as charitable contributions for Federal income tax purposes. However, they may be tax deductible under other provisions of the Internal Revenue Code. The above deduction authorization shall continue until either (1) revoked by me at any time upon thirty days written notice to the University Human Resources Office and to the UFF, or (2) my transfer or promotion out of this bargaining unit. Signature of Member Date Department Panther ID Effective date if later than above: Return to the United Faculty of Xxxxxxx-XXX Xxxxxx, XX 000, Xxxxx, XX 00000 Or to the XXX Xxxxx Xxxxxx, 000 Xxxxx Xxxxxxx Xxxxxx, Suite 6, Tallahassee, Florida 32301. Florida International University/United Faculty of Florida APPENDIX C Date Received by Xxxxxxx or Designee: NAME : SCHOOL/COLLEGE: DEPT : NAME: MAILING ADDRESS: OFFICE PHONE: OFFICE PHONE:
Appears in 1 contract
Samples: Collective Bargaining Agreement
Excluded. C1 - chairpersons, deansxxxxx, associate deans, assistant deans, directors, and all administrators above them, all employees of the school of law, all employees of the College of Medicine, chairman of the faculty senate serving on the board of trustees, managerial and confidential employees, and all other employees of The Board of Trustees of the Florida International University. NAME (Last, First MI) Panther ID Department TITLE (ie, Assistant Professor, Professor, Lecturer, Assoc In, University Librarian, Instructor) CAMPUS LOCATION OFFICE HOURS HOME ADDRESS CITY/STATE ZIP PHONE: Work Home E-MAIL I authorize the University Board of Trustees, through the University, to deduct from my pay, starting with the first full pay period commencing not earlier than seven (7) days from the date this authorization is received by the University, membership dues and uniform assessments of the United Faculty of Florida in such amount as may be established from time to time in accordance with the constitution and bylaws of the UFF and certified in writing to the Florida International University Board of Trustees by the UFF, and I direct that the sum or sums so deducted be paid over to the UFF. Dues payments to UFF are not tax deductible as charitable contributions for Federal income tax purposes. However, they may be tax deductible under other provisions of the Internal Revenue Code. This authorization shall continue until either (1) revoked by me at any time upon thirty (30) days written notice to the University Personnel Office, or (2) the discontinuance of my status within this bargaining unit for more than two consecutive semesters (i.e. Fall-Spring, Spring-Summer, or Summer-Fall). Signature (for payroll deduction authorization) Today’s Date I, authorize Florida International University to deduct from my pay, starting with the first biweekly pay period commencing not earlier than seven days from the date this authorization is received by the University, contributions to the UFF Political Action Committee in the amount of per pay period, and I direct that the sum so deducted be paid over to the UFF. Contributions to UFF-PAC are not deductible as charitable contributions for Federal income tax purposes. However, they may be tax deductible under other provisions of the Internal Revenue Code. The above deduction authorization shall continue until either (1) revoked by me at any time upon thirty days written notice to the University Human Resources Office and to the UFF, or (2) my transfer or promotion out of this bargaining unit. Signature of Member Date Department Panther ID Effective date if later than above: Return to the United Faculty of XxxxxxxFlorida-XXX XxxxxxFIU Office, XX 000PC 111, XxxxxMiami, XX 00000 FL 33199 Or to the XXX Xxxxx XxxxxxUFF State Office, 000 Xxxxx Xxxxxxx Xxxxxx, Suite 6, Tallahassee, Florida 32301. Florida International University/United Faculty of Florida APPENDIX C Date Received by Xxxxxxx or Designee: NAME : SCHOOL/COLLEGE: DEPT : NAME: MAILING ADDRESS: OFFICE PHONE: OFFICE PHONE:
Appears in 1 contract
Samples: Collective Bargaining Agreement
Excluded. C1 - chairpersons, deansxxxxx, associate deans, assistant deans, directors, and all administrators above them, all employees of the school of law, all employees of the College of Medicine, chairman of the faculty senate serving on the board of trustees, managerial and confidential employees, and all other employees of The Board of Trustees of the Florida International University. NAME (Last, First MI) Panther ID Department TITLE (ie, Assistant Professor, Professor, Lecturer, Assoc In, University Librarian, Instructor) CAMPUS LOCATION OFFICE HOURS HOME ADDRESS CITY/STATE ZIP PHONE: Work Home E-MAIL I authorize the University Board of Trustees, through the University, to deduct from my pay, starting with the first full pay period commencing not earlier than seven (7) days from the date this authorization is received by the University, membership dues and uniform assessments of the United Faculty of Florida in such amount as may be established from time to time in accordance with the constitution and bylaws of the UFF and certified in writing to the Florida International University Board of Trustees by the UFF, and I direct that the sum or sums so deducted be paid over to the UFF. Dues payments to UFF are not tax deductible as charitable contributions for Federal income tax purposes. However, they may be tax deductible under other provisions of the Internal Revenue Code. This authorization shall continue until either (1) revoked by me at any time upon thirty (30) days written notice to the University Personnel Office, or (2) the discontinuance of my status within this bargaining unit for more than two consecutive semesters (i.e. Fall-Spring, Spring-Summer, or Summer-Fall). Signature (for payroll deduction authorization) Today’s Date I, authorize Florida International University to deduct from my pay, starting with the first biweekly pay period commencing not earlier than seven days from the date this authorization is received by the University, contributions to the UFF Political Action Committee in the amount of per pay period, and I direct that the sum so deducted be paid over to the UFF. Contributions to UFF-PAC are not deductible as charitable contributions for Federal income tax purposes. However, they may be tax deductible under other provisions of the Internal Revenue Code. The above deduction authorization shall continue until either (1) revoked by me at any time upon thirty days written notice to the University Human Resources Office and to the UFF, or (2) my transfer or promotion out of this bargaining unit. Signature of Member Date Department Panther ID Effective date if later than above: Return to the United Faculty of Xxxxxxx-XXX Xxxxxx, XX 000, Xxxxx, XX 00000 Or to the XXX Xxxxx Xxxxxx, 000 Xxxxx Xxxxxxx Xxxxxx, Suite 6, Tallahassee, Florida 32301. Florida International University/United Faculty of Florida APPENDIX C Date Received by Xxxxxxx or Designee: NAME : SCHOOL/COLLEGE: DEPT : NAME: MAILING ADDRESS: OFFICE PHONE: OFFICE PHONE:
Appears in 1 contract
Samples: Collective Bargaining Agreement
Excluded. C1 - chairpersons, deansxxxxx, associate deans, assistant deans, directors, and all administrators above them, all employees of the school of law, all employees of the College of Medicine, chairman of the faculty senate serving on the board of trustees, managerial and confidential employees, and all other employees of The Board of Trustees of the Florida International University. NAME (Last, First MI) Panther ID Department TITLE (ie, Assistant Professor, Professor, Lecturer, Assoc In, University Librarian, Instructor) CAMPUS LOCATION OFFICE HOURS HOME ADDRESS CITY/STATE ZIP PHONE: Work Home E-MAIL I authorize the University Board of Trustees, through the University, to deduct from my pay, starting with the first full pay period commencing not earlier than seven (7) days from the date this authorization is received by the University, membership dues and uniform assessments of the United Faculty of Florida in such amount as may be established from time to time in accordance with the constitution and bylaws of the UFF and certified in writing to the Florida International University Board of Trustees by the UFF, and I direct that the sum or sums so deducted be paid over to the UFF. Dues payments to UFF are not tax deductible as charitable contributions for Federal income tax purposes. However, they may be tax deductible under other provisions of the Internal Revenue Code. This authorization shall continue until either (1) revoked by me at any time upon thirty (30) days written notice to the University Personnel Office, or (2) the discontinuance of my status within this bargaining unit for more than two consecutive semesters (i.e. Fall-Spring, Spring-Summer, or Summer-Fall). Signature (for payroll deduction authorization) Today’s Date I, authorize Florida International University to deduct from my pay, starting with the first biweekly pay period commencing not earlier than seven days from the date this authorization is received by the University, contributions to the UFF Political Action Committee in the amount of per pay period, and I direct that the sum so deducted be paid over to the UFF. Contributions to UFF-PAC are not deductible as charitable contributions for Federal income tax purposes. However, they may be tax deductible under other provisions of the Internal Revenue Code. The above deduction authorization shall continue until either (1) revoked by me at any time upon thirty days written notice to the University Human Resources Office and to the UFF, or (2) my transfer or promotion out of this bargaining unitbargainingunit. Signature of Member Date Department Panther ID Effective date if later than above: Return to the United Faculty of XxxxxxxFlorida-XXX XxxxxxFIU Office, XX PC 000, Xxxxx, XX 00000 Or to the XXX Xxxxx XxxxxxUFF State Office, 000 Xxxxx Xxxxxxx Xxxxxx, Suite 6, Tallahassee, Florida 32301. Florida International University/United Faculty of Florida APPENDIX C Date Received by Xxxxxxx or Designee: NAME : SCHOOL/COLLEGE: DEPT : NAME: MAILING ADDRESS: OFFICE PHONE: OFFICE PHONE:
Appears in 1 contract
Samples: Collective Bargaining Agreement
Excluded. C1 - chairpersons, deansxxxxx, associate deans, assistant deans, directors, and all administrators above them, all employees of the school of law, all employees of the College of Medicine, chairman of the faculty senate serving on the board of trustees, managerial and confidential employees, and all other employees of The Board of Trustees of the Florida International University. NAME (Last, First MI) Panther ID Department TITLE (ie, Assistant Professor, Professor, Lecturer, Assoc In, University Librarian, Instructor) CAMPUS LOCATION OFFICE HOURS HOME ADDRESS CITY/STATE ZIP PHONE: Work Home E-MAIL I authorize the University Board of Trustees, through the University, to deduct from my pay, starting with the first full pay period commencing not earlier than seven (7) days from the date this authorization is received by the University, membership dues and uniform assessments of the United Faculty of Florida in such amount as may be established from time to time in accordance with the constitution and bylaws of the UFF and certified in writing to the Florida International University Board of Trustees by the UFF, and I direct that the sum or sums so deducted be paid over to the UFF. Dues payments to UFF are not tax deductible as charitable contributions for Federal income tax purposes. However, they may be tax deductible under other provisions of the Internal Revenue Code. This authorization shall continue until either (1) revoked by me at any time upon thirty (30) days written notice to the University Personnel Office, or (2) the discontinuance of my status within this bargaining unit for more than two consecutive semesters (i.e. Fall-Spring, Spring-Summer, or Summer-Fall). Signature (for payroll deduction authorization) Today’s Date I, authorize Florida International University to deduct from my pay, starting with the first biweekly pay period commencing not earlier than seven days from the date this authorization is received by the University, contributions to the UFF Political Action Committee in the amount of per pay period, and I direct that the sum so deducted be paid over to the UFF. Contributions to UFF-PAC are not deductible as charitable contributions for Federal income tax purposes. However, they may be tax deductible under other provisions of the Internal Revenue Code. The above deduction authorization shall continue until either (1) revoked by me at any time upon thirty days written notice to the University Human Resources Office and to the UFF, or (2) my transfer or promotion out of this bargaining unitbargainingunit. Signature of Member Date Department Panther ID Effective date if later than above: Return to the United Faculty of Xxxxxxx-XXX Xxxxxx, XX 000, Xxxxx, XX 00000 Or to the XXX Xxxxx Xxxxxx, 000 Xxxxx Xxxxxxx Xxxxxx, Suite 6, Tallahassee, Florida 32301. Florida International University/United Faculty of Florida APPENDIX C Date Received by Xxxxxxx or Designee: NAME : SCHOOL/COLLEGE: DEPT : NAME: MAILING ADDRESS: OFFICE PHONE: OFFICE PHONE:
Appears in 1 contract
Samples: Collective Bargaining Agreement
Excluded. C1 - chairpersons, deansxxxxx, associate deans, assistant deans, directors, and all administrators above them, all employees of the school of law, all employees of the College of Medicine, chairman of the faculty senate serving on the board of trustees, managerial and confidential employees, and all other employees of The Board of Trustees of the Florida International University. NAME (Last, First MI) Panther ID Department TITLE (ie, Assistant Professor, Professor, Lecturer, Assoc In, University Librarian, Instructor) CAMPUS LOCATION OFFICE HOURS HOME ADDRESS CITY/STATE ZIP PHONE: Work Home E-MAIL I authorize the University Board of Trustees, through the University, to deduct from my pay, starting with the first full pay period commencing not earlier than seven (7) days from the date this authorization is received by the University, membership dues and uniform assessments of the United Faculty of Florida in such amount as may be established from time to time in accordance with the constitution and bylaws of the UFF and certified in writing to the Florida International University Board of Trustees by the UFF, and I direct that the sum or sums so deducted be paid over to the UFF. Dues payments to UFF are not tax deductible as charitable contributions for Federal income tax purposes. However, they may be tax deductible under other provisions of the Internal Revenue Code. This authorization shall continue until either (1) revoked by me at any time upon thirty (30) days written notice to the University Personnel Office, or (2) the discontinuance of my status within this bargaining unit for more than two consecutive semesters (i.e. Fall-Spring, Spring-Summer, or Summer-Fall). Signature (for payroll deduction authorization) Today’s Date I, authorize Florida International University to deduct from my pay, starting with the first biweekly pay period commencing not earlier than seven days from the date this authorization is received by the University, contributions to the UFF Political Action Committee in the amount of per pay period, and I direct that the sum so deducted be paid over to the UFF. Contributions to UFF-PAC are not deductible as charitable contributions for Federal income tax purposes. However, they may be tax deductible under other provisions of the Internal Revenue Code. The above deduction authorization shall continue until either (1) revoked by me at any time upon thirty days written notice to the University Human Resources Office and to the UFF, or (2) my transfer or promotion out of this bargaining unit. Signature of Member Date Department Panther ID Effective date if later than above: Return to the United Faculty of XxxxxxxFlorida-XXX XxxxxxFIU Office, XX PC 000, Xxxxx, XX 00000 Or to the XXX Xxxxx XxxxxxUFF State Office, 000 Xxxxx Xxxxxxx Xxxxxx, Suite 6, Tallahassee, Florida 32301. Florida International University/United Faculty of Florida APPENDIX C Date Received by Xxxxxxx or Designee: NAME : SCHOOL/COLLEGE: DEPT : NAME: MAILING ADDRESS: OFFICE PHONE: OFFICE PHONE:
Appears in 1 contract
Samples: Collective Bargaining Agreement