I hereby authorize all Employers by whom I am employed during the terms of Agreements by and between the Employer and Local Union No through Laborers' District Council of Western Pennsylvania, to deduct from my paycheck such amounts as shall be required to pay the equivalent of the initiation fees, readmissions fees, and membership dues of the Local Union as may be established for its members. Any voluntary authorization to the Western Pennsylvania Laborers Political Action Fund as described below will not cause the total deductions from my wages to be in excess of the established rates. Refusal to sign a voluntary authorization for a contribution to the Western Pennsylvania Laborers Political Action Fund indicates that all deductions will be allocated to the working dues of the Local Union.
This authorization shall remain in effect regardless of whether my original local union is merged or terminated or whether I transfer my membership to another local union signatory lo the collective bargaining agreement. This authorization shall become operative immediately and shall have the effect of authorizing any such deductions made prior to my execution of the within authorization, except to the extent that I have objected thereto in writing on or before this date.
This authorization shall be irrevocable for a period of one (1) year, or until termination of the collective bargaining agreement in effect between the Union and my Employer, whichever is sooner: and I agree and direct that this authorization shall be automatically renewed and shall be irrevocable for successive periods of one (1) year each, or for the period of any subsequent agreement between my Employer and the Union, whichever shall be shorter, unless written notice is given by me to my Employer and the Local Union not more than 20 days and not less than 10 days prior to the expiration of each period of one (1) year, or of each applicable collective bargaining agreement or other agreement between my Employer and the Union, whichever occurs sooner. The Authorization I have signed is voluntary and is not conditioned on my present and future membership in the Union. The revocation must be in writing. bear the date and my signature, and be delivered to the local union office.
I voluntarily authorize .05 % portion of my working dues to be contributed to the Western Pennsylvania Political Action Fund (WPLPAF). Foreign nationals may not contribute. I understand that the signing of this authorization and the making of payments to WPLPAFs are not conditions of membership in the union or of employment with any Employer, and that I have a right to refuse to sign this authorization to contribute to WPLPAF without reprisal and WPLPAFs will use the money it receives to make political expenditures and contributions in connection with federal, state and local elections. I also understand that any amount of contribution discussed is a suggested guideline; that I am free to contribute more or less than this amount by any lawful means other than this check-off and that the union cannot favor or disadvantage me because of the amount of my contribution or my decision not to contribute.
Federal law requires the union to use its best efforts to collect the name, mailing address, occupation and name of employer of every individual whose contributions exceed $200 in a calendar year. Dues and fees to your local union and contributions to WPLPLAF are not deductible as charitable contributions for federal income tax purposes.