Indemnity Provision. The Division agrees to defend, indemnify, and save the County or Sheriff harmless against any and all claims, lawsuits or other forms of liability arising out of its deduction from an employee's pay of Division dues or representation fees, or reliance on any list, notice, certification or authorization under this Article. The Division assumes full responsibility for the disposition of the deductions so made once they have been sent to the Division. CHECK-OFF AUTHORIZATION FORM Fraternal Order of Police, Lodge #141, Xxxxxx County Division VOLUNTARY CHECK-OFF AUTHORIZATION CAPITOL CITY LODGE 141 Print Last Name First Name Middle Initial I certify that Xxxxxxx Xxxx Xxxxx 000, Xxxxxxxxx Order of Police is my designated collective bargaining representative and I hereby authorize and direct to my employer to deduct from my earnings during this month and each successor month an amount determined by Capitol City Lodge 141, and request that this amount be forwarded to the Treasurer of Capitol City Lodge 141. This authorization and direction shall be irrevocable for the period of the joint bargaining agreement between Lodge 141 and my employer, and I agree and direct that this authorization and direction shall be automatically renewed with each succeeding applicable joint bargaining agreement between the Lodge and my employer, unless written notice is given to the Lodge and my employer by me. DATE: SIGNATURE:
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