Common use of Authorization Form Clause in Contracts

Authorization Form. A properly executed copy of such “Authorization for Check-off of Dues” form for each employee for whom Union membership dues are to be deducted hereunder shall be delivered to the Company before any payroll deductions are made. Deductions shall be made thereafter only under “Authorization for Check- off of Dues” forms which have been properly executed and are in effect. Any “Authorization for Check-off of Dues” which is incomplete or in error will be returned to the Union by the Company. Thereafter the Union shall deliver to the Company any executed “Authorization for Check-off of Dues” forms under which Union membership dues are to be deducted beginning with the following month. In the event that membership dues other than those for the calendar month in which the deduction is made and initiation fees have become due and owing by an employee subsequent to the form, but prior to the first deduction by the Company there under, such membership dues and initiation fees will be deducted by the Company at the time it makes the first deduction for membership dues. The Union will notify the Company in writing, when it makes delivery of “Authorization for Check-off of Dues” forms of the amount owing by employees who executed these forms. In the case of employees rehired, or returning to work after layoff or leave of absence, who have previously properly executed “Authorization for Check-off of Dues” forms, deduction will be made for membership dues as provided herein. In cases where a deduction is made which duplicated a payment already made to the Union by an employee, or where a deduction is not in conformity with the provisions of the Union Constitution and Bylaws, refunds to the employee will be made by the Union. Dues deduction shall be remitted to the designated financial officer of the Local Union once each month within one (1) calendar week after such deductions are made. Any deductions made from subsequent payrolls in that month shall be included with the remittance for the following month. The Company shall furnish the designated financial officer of the Union, monthly, with a list of those for whom deductions have been made and amounts of such deductions. Any employee during the probationary period (90 days) whose employment is terminated or any employee who is transferred to a classification not in the bargaining unit, or any employee whose seniority is broken by death, quitting, discharge, layoff, sick leave of absence, or any employee on medical leave of absence shall cease to be subject to check-off deductions beginning the month immediately following the month in which such termination or transfer occurred, or seniority was broken, or the employee last worked prior to being placed on medical leave of absence. The Company will notify the Union following the end of each month of the names of such members and will designate the reason such member ceased to be subject to the check-off. Any dispute, which may arise as to whether or not an employee properly executed or properly revoked an “Authorization for Check-off of Dues” form, shall be reviewed with the employee by a representative of the Union and a representative of the Company. The Company shall not be liable to the International Union or the Local by reason of the requirement of this Article of the Agreement for the remittance or payment of any sum other than those constituting actual deductions made from employees’ wages earned. The deduction for monthly dues will be made from the first (1st) payday for the calendar month. If the deduction is not made at the time described above, the deduction shall be made from the next pay. If an employee receives a back pay settlement or award for any calendar month when no dues have been deducted, a deduction for each month shall be made from the settlement or award. The Union shall indemnify and hold the Company harmless against all claims or liabilities that may arise out of actions taken by the Company in complying with any of the provisions of this Section.

Authorization Form. A properly executed copy of such “"Authorization for Check-off of Dues” " form for each employee for whom Union membership dues are to be deducted hereunder shall be delivered to the Company before any payroll deductions are made. Deductions shall be made thereafter only under “"Authorization for Check- Check-off of Dues” " forms which have been properly executed and are in effect. Any “"Authorization for Check-off of Dues” " which is incomplete or in error will be returned to the Union by the Company. Thereafter the Union shall deliver to the Company any executed “"Authorization for Check-off of Dues” " forms under which Union membership dues are to be deducted beginning with the following month. In the event that membership dues other than those for the calendar month in which the deduction is made and initiation fees have become due and owing by an employee subsequent to the form, but prior to the first deduction by the Company there under, such membership dues and initiation fees will be deducted by the Company at the time it makes the first deduction for membership dues. The Union will notify the Company in writing, when it makes delivery of “"Authorization for Check-off of Dues” " forms of the amount owing by employees who executed these forms. In the case of employees rehired, or returning to work after layoff or leave of absence, who have previously properly executed “"Authorization for Check-off of Dues” " forms, deduction will be made for membership dues as provided herein. In cases where a deduction is made which duplicated a payment already made to the Union by an employee, or where a deduction is not in conformity with the provisions of the Union Constitution and Bylaws, refunds to the employee will be made by the Union. Dues deduction shall be remitted to the designated financial officer of the Local Union once each month within one (1) calendar week after such deductions are made. Any deductions made from subsequent payrolls in that month shall be included with the remittance for the following month. The Company shall furnish the designated financial officer of the Union, monthly, with a list of those for whom deductions have been made and amounts of such deductions. Any employee during the probationary period (90 days) whose employment is terminated or any employee who is transferred to a classification not in the bargaining unit, or any employee whose seniority is broken by death, quitting, discharge, layoff, sick leave of absence, or any employee on medical leave of absence shall cease to be subject to check-off deductions beginning the month immediately following the month in which such termination or transfer occurred, or seniority was broken, or the employee last worked prior to being placed on medical leave of absence. The Company will notify the Union following the end of each month of the names of such members and will designate the reason such member ceased to be subject to the check-off. Any dispute, which may arise as to whether or not an employee properly executed or properly revoked an “Authorization for Check-off of Dues” form, shall be reviewed with the employee by a representative of the Union and a representative of the Company. The Company shall not be liable to the International Union or the Local by reason of the requirement of this Article of the Agreement for the remittance or payment of any sum other than those constituting actual deductions made from employees’ ' wages earned. The deduction for monthly dues will be made from the first (1st) payday for the calendar month. If the deduction is not made at the time described above, the deduction shall be made from the next pay. If an employee receives a back pay settlement or award for any calendar month when no dues have been deducted, a deduction for each month shall be made from the settlement or award. The Union shall indemnify and hold the Company harmless against all claims or liabilities that may arise out of actions taken by the Company in complying with any of the provisions of this Section.

Authorization Form. A properly executed copy of such “Authorization for Check-off of Dues” form for each employee for whom Union membership dues are to be deducted hereunder shall be delivered to the Company before any payroll deductions are made. Deductions shall be made thereafter only under “Authorization for Check- off of Dues” forms which have been properly executed and are in effect. Any “Authorization for Check-off of Dues” which is incomplete or in error will be returned to the Union by the Company. Thereafter the Union shall deliver to the Company any executed “Authorization for Check-off of Dues” forms under which Union membership dues are to be deducted beginning with the following month. In the event that membership dues other than those for the calendar month in which the deduction is made and initiation fees have become due and owing by an employee subsequent to the form, but prior to the first deduction by the Company there under, such membership dues and initiation fees will be deducted by the Company at the time it makes the first deduction for membership dues. The Union will notify the Company in writing, when it makes delivery of “Authorization for Check-off of Dues” forms of the amount owing by employees who executed these forms. In the case of employees rehiredxxxxxxx, or returning to work after layoff or leave of absence, who have previously properly executed “Authorization for Check-off of Dues” forms, deduction will be made for membership dues as provided herein. In cases where a deduction is made which duplicated a payment already made to the Union by an employee, or where a deduction is not in conformity with the provisions of the Union Constitution and Bylaws, refunds to the employee will be made by the Union. Dues deduction shall be remitted to the designated financial officer of the Local Union once each month within one (1) calendar week after such deductions are made. Any deductions made from subsequent payrolls in that month shall be included with the remittance for the following month. The Company shall furnish the designated financial officer of the Union, monthly, with a list of those for whom deductions have been made and amounts of such deductions. Any employee during the probationary period (90 days) whose employment is terminated or any employee who is transferred to a classification not in the bargaining unit, or any employee whose seniority is broken by death, quitting, discharge, layoff, sick leave of absence, or any employee on medical leave of absence shall cease to be subject to check-off deductions beginning the month immediately following the month in which such termination or transfer occurred, or seniority was broken, or the employee last worked prior to being placed on medical leave of absence. The Company will notify the Union following the end of each month of the names of such members and will designate the reason such member ceased to be subject to the check-off. Any dispute, which may arise as to whether or not an employee properly executed or properly revoked an “Authorization for Check-off of Dues” form, shall be reviewed with the employee by a representative of the Union and a representative of the Company. The Company shall not be liable to the International Union or the Local by reason of the requirement of this Article of the Agreement for the remittance or payment of any sum other than those constituting actual deductions made from employees’ wages earned. The deduction for monthly dues will be made from the first (1st) payday for the calendar month. If the deduction is not made at the time described above, the deduction shall be made from the next pay. If an employee receives a back pay settlement or award for any calendar month when no dues have been deducted, a deduction for each month shall be made from the settlement or award. The Union shall indemnify and hold the Company harmless against all claims or liabilities that may arise out of actions taken by the Company in complying with any of the provisions of this Section.

Authorization Form. This Master Contract is made, entered into, and executed by the respective parties on the 28th day of October, in Richmond, Indiana, by and between the Board of School Trustees of Richmond Community Schools and Richmond Education Association. Representing Representing BOARD OF SCHOOL TRUSTEES RICHMOND EDUCATION ASSOCIATION Attest: Attest: Board Approval Date: October 28, 2015 Ratified Date: October 27, 2015 Appendix A properly executed copy of such “Authorization for Check-off of Dues” form for each employee for whom Union membership dues are to be deducted hereunder This Appendix shall be delivered used as a placement new teachers hired beginning 2015-2016 Addendum Committees for RCS Employee Benefit Trust February 5, 2003 Trustees of the Plan – made up of the Superintendent, REA President and Chief Human Resources Officer.  Duties: Disseminate reports to the Company before any payroll deductions are made. Deductions shall be made thereafter only under “Authorization for Check- off of Dues” forms which have been properly executed and are in effect. Any “Authorization for Check-off of Dues” which is incomplete or in error will be returned to the Union by the Company. Thereafter the Union shall deliver to the Company any executed “Authorization for Check-off of Dues” forms under which Union membership dues are to be deducted beginning with the following month. In the event that membership dues other than those for the calendar month in which the deduction is made and initiation fees have become due and owing by an employee subsequent to the form, but prior to the first deduction by the Company there underExecutive Committee, such membership dues as but not limited to, Aggregate Reports, Month End Reports, Check Register reports, Census reports, Monthly Activity reports, and initiation fees will be deducted by the Company at the time it makes the first deduction account statements reflecting money for membership duesclaims and IBNR (incurred but not reported) consistent with HIPPA regulations. The Union will notify the Company in writing, when it makes delivery of “Authorization for Check-off of Dues” forms Executive committee- made up of the amount owing by employees who executed these forms. In the case of employees rehired, or returning to work after layoff or leave of absence, who have previously properly executed “Authorization for Check-off of Dues” forms, deduction will be made for membership dues as provided herein. In cases where a deduction is made which duplicated a payment already made to the Union by an employee, or where a deduction is not in conformity with the provisions of the Union Constitution and Bylaws, refunds to the employee will be made by the Union. Dues deduction shall be remitted to the designated financial Chief Financial officer of the Local Union once each month within one (1) calendar week after such deductions are madeschool district/ designee, the REA President/designee, the Chief Human Resources Officer/ designee, two additional teachers appointed by REA, Superintendent/designee, and two classified representatives selected by the Chief Human Resources Officer. Any deductions made  Co-chairs—REA President/designee and Superintendent/designee  Duties- o Has the authority to recommend a vendor to administer plan, to recommend benefit plan revisions, to recommend the contribution recommendation to the REA and Administration. Has the responsibility to deliver to Finance committee an investment policy that directs and limits investment choices for all cash funds. o Has the responsibility to create and publish employee communications documents from subsequent payrolls in time to time. o Has the responsibility to deliver to Appeal committee the limits on its authority with regard to size of appealed claims that month shall be included with the remittance for the following month. The Company shall furnish the designated financial officer fall outside of the Unionre-insurance agreement, monthly, with a list and limit Appeal reviews to areas of those for whom deductions have been made and amounts of such deductionsambiguity; not to revise clear benefit provisions. Any employee during o Has the probationary period (90 days) whose employment is terminated or any employee who is transferred membership related-issue responsibilities; decisions related to a classification not in the bargaining unit, or any employee whose seniority is broken by death, quitting, discharge, layoff, sick leave of absence, or any employee on medical leave of absence shall cease to be subject to check-off deductions beginning the month immediately following the month in which such termination or transfer occurred, or seniority was broken, or the employee last worked prior to being placed on medical leave of absence. The Company will notify the Union following the end of each month of the names of such members and will designate the reason such member ceased to be subject to the check-off. Any dispute, which may arise as to whether or not an employee properly executed or properly revoked an “Authorization for Check-off of Dues” form, shall be reviewed with the employee by a representative of the Union and a representative of the Company. The Company shall not be liable to the International Union or the Local by reason of the requirement of this Article of the Agreement for the remittance or payment of any sum coverage availability other than those constituting actual deductions made from employees’ wages earnedclear HIPAA enrollment exceptions are included in these duties. The deduction for monthly dues will o May also be made from the first (1st) payday for the calendar month. If the deduction is not made at the time described above, the deduction shall be made from the next pay. If an employee receives a back pay settlement or award for any calendar month when no dues have been deducted, a deduction for each month shall be made from the settlement or award. The Union shall indemnify and hold the Company harmless against all claims or liabilities that may arise out members of actions taken by the Company in complying with any of the provisions sub-committees.  Meetings-Committee meets at least once every month or more throughout the year. Appeal committee- made up of representative from employee groups covered by plan. Executive committee determines the membership. Members, in addition to the chair, are the Director of Finance/designee, the benefits specialist, a teacher appointed by REA, and a member of the classified representative group.  Chair-President of REA/designee.  Duties-Has authority as authorized by Plan’s executive committee to review and confirm or change TPA’s claim determination.  This committee may, from time to time, make contact with the school corporation attorney for additional information.  The maximum monetary authority of this Sectioncommittee for any one-claim appeal shall be $10,000.  Meetings-Committee membership to meet not more often than once a month, but only if called. Benefits committee- made up of employee groups represented by the plan. Executive committee determines the membership of this committee. Members, in addition to the chair, are the benefits specialist, two teachers appointed by REA, and a classified representative.  Chair-Chief Human Resources Officer of RCS.  Duties- o Continuous review of benefit plans to be sure plan features match the benefit and cost needs of the employees and their dependents. Interviews various informational sources to be sure plan features are using the most current tools to deliver benefits for members. Visits with other employers or groups to understand trends and compare to RCS program. o If the committee determines benefits changes or additions should be made, then committee makes recommendations to the Executive committee. o Development of the monthly communication/newsletter.  Meetings-Committee meets at least once every month or more often throughout the year. Finance committee-made up of representatives from employee groups covered by the plan. The Executive Committee determines the membership of this committee. In addition to the chair are the Chief Financial Officer/designee, REA President/designee, a classified representative and a teacher appointed by REA.  Chair-Superintendent or designee.  Duties- o Reviews the financial results of the operating plan(s). Makes recommendation to the Executive committee regarding fee adjustments necessary to be sure plan is operating financially sound. o Manages the changes in the reserve account to be sure funds are invested conservatively. o Works closely with TPA, and trustee (local bank) holding all cash accounts. o Reviews benefit recommendations with Benefits committee to determine financial implications of any benefit revision.