Print an Authorization Card

Interested in joining a Union?
Call us:
781-848-3740

When you and your coworkers sign authorization cards, you are expressing your desire to become a member of UWUA. It's important to understand that when you sign an authorization card, you are not joining the UWUA. You are only expressing your desire


Desiring to enjoy the rights and benefits of collective bargaining,
I hereby authorize the Utility Workers Union of America International Union, AFL-CIO-CLC, or its chartered Local Union(s) to represent me for the purpose of collective bargaining.

Print Name

Date

Signature

Home Phone

Home Address

City, State, Zip

Employer's Name

Employer's Address

Your Hire Date

Type of Work Performed

Department

Hourly Rate

E-mail address I work: List your days off:
( ) Day Shift
( ) Night Shift
( ) Part-time
( ) Full-time
Would you participate in an
organizing committee?
( ) Yes
( ) No

 

Mail this authorization form to Brotherhood of Utility Workers Council at:

1300 Jefferson Blvd.
Warwick, RI 02886