Dependent Eligibility after Death of Retiree. The spouse and eligible children of a deceased retiree will continue to receive retiree insurance benefits. This coverage may continue until the earlier of the spouse’s death or remarriage. ADDENDUM "A" INTERNATIONAL ASSOCIATION OF FIREFIGHTERS & LOCAL 2117 WAGE DEDUCTION AUTHORIZATION (Union Dues and Initiation Fee) I, ________________________________, hereby authorize the Xxxxx Creek Improvement District to deduct from wages due and payable to me on the first regular pay day immediately following receipt of Addendum "B" and on the regular pay day of each succeeding week the amount equal to for the weekly membership dues of Local #2117 of the International Association of Fire Fighters Union, and hereby authorize the District to pay this amount to Local #2117, for my account on or before the 15th day of the calendar month following the month in which the deduction is made. I further authorize the District to deduct from my wages the initiation fee of my Union in the amount of $20.00. This authorization and assignment shall be irrevocable for the term of the applicable contract between the Union and the District, of for one year, whichever is the lesser, and shall automatically renew itself for successive yearly or applicable contract periods thereafter, whichever is lesser, unless I give written notice to the District and the Union at least 60 days and not more than 75 days before any periodic renewal of this authorization and assignment of my desire to revoke same. _ Signature Date Employee Name Deduction Credit (District Payroll Agent) Date Received RCID PAYROLL ONLY: Company Deduction Code Deduction Type ORIGINAL COPY TO: XXXXX CREEK IMPROVEMENT DISTRICT Finance Department - Attn: Payroll X.X. Xxx 00000 Xxxx Xxxxx Xxxxx, Xxxxxxx 00000 ADDENDUM "B" WITHDRAWAL OF AUTHORIZATION FOR DUES CHECKOFF In accordance with the Public Employee's Relation Act, State of Florida, withdrawal from Payroll Dues deduction must be accomplished by giving thirty (30) days written notice to the District and the Union. Please complete the following and submit to your Union Representative. I, authorization for payroll deduction bewithdrawn. do hereby request that my (signature) (date) EMPLOYING AGENCY: Xxxxx Creek Improvement District (District Agent) (date) LABOR ORGANIZATION: Xxxxx Creek Professional Fire Fighters Association Local #2117, IAFF X.X. Xxx 00000 Xxxx Xxxxx Xxxxx, XX 00000-0000 Telephone: (000) 000-0000 (Union Representative) (date) PAYROLL DEPARTMENT: Please d...
Dependent Eligibility after Death of Retiree. The spouse and eligible children of a deceased retiree will continue to receive retiree insurance benefits. This coverage may continue until the earlier of the spouse’s death or remarriage. ADDENDUM “A” Classification Title Step 1 Step 2 Step 3 Step 4 Step 5 Step 6 Step 7 Step 8 Step 9 Step 10 Step 11 Step 12
