Voluntary Check-off Authorization. To: The Buffalo News I hereby assign The Newspaper Guild of Buffalo and authorize you to deduct from any wage earned or to be earned by me as your employee an amount equal to all obligations lawfully levied against me by the Guild for each calendar month following the date of this assignment as certified by the treasurer of The Newspaper Guild of Buffalo. I hereby authorize and request you to check-off and deduct such amounts during the month for which such dues are levied and the Guild so notifies you, from any wage then standing to my credit as your employee, and to remit the amount deducted to The Newspaper Guild of Buffalo not later than the first day of the week following each pay day. This assignment and authorization will remain in effect until revoked by me, but will be irrevocable for a period of one year from the date appearing below or until termination of the contract between The News and the Guild, whichever occurs sooner. I further agree and direct that this assignment and authorization will be continued automatically and will be irrevocable for successive periods of one year each or for the period of each succeeding applicable contract between The News and the Guild, whichever period will be shorter, unless written notice of its revocation is given by me to The News by registered mail not more than 30 and not less than 15 days prior to the expiration of each period of one year, or of each applicable contract between The News and the Guild, whichever occurs sooner. Such notice of revocation will become effective for the calendar month following the calendar month it is received by The News. This assignment and authorization supersedes all previous assignments and authorizations heretofore given to The News by me in relation to my Guild membership obligations. Employee’s Signature (In Ink) Date
Voluntary Check-off Authorization. The Union agrees that it shall indemnify the Company and save it harmless from any and all claims which may be made against it on account of amounts deducted from wages as provided in this Article. VOLUNTARY CHECKOFF AUTHORIZATION Name: (SAMPLE) Badge No: Department: Date: I hereby assign to the United Steel, Paper and Forestry, Rubber, Manufacturing, Energy, Allied- Industrial and Service Workers International Union, AFL-CIO, Local 689, and authorize Wastren-EnergX Mission Support, LLC (WEMS) to deduct from the wages due me while in the employ of the Company, dues in the amount of $ per month, or such dues as the Union's Constitution and By-Laws may be amended to provide in equal bi-weekly installments each calendar month. I further authorize the Company to deduct from my wages an initiation fee in the amount of $ . This authorization shall be irrevocable for the period of one (1) year from the date hereof, or until the termination of the Contract between the Company and the Union, whichever occurs sooner. Furthermore, this authorization shall automatically renew itself for successive irrevocable annual periods, unless I give notice to the contrary in writing by registered mail to both the Company and the Union no less than two (2) days and no more than seventeen (17) days before expiration hereof or before expiration of any annual renewal period, as the case may be. (Signature) (Address)
