ASEA/AFSCME Local 52, AFL-CIO

Union Membership & Dues Deduction Authorization Form

YES! I choose to be a union member. I understand my membership supports the organization advocating for my interests as a bargaining unit member and as an individual. ASEA negotiated labor contracts result in better wages, benefits and working conditions. Union strength is a reflection of its membership. Being a member makes the union more effective for everyone. ASEA membership is opt-in and paying union dues is not a condition of employment. By submitting this form I choose to be a union member.


About Me

Please Enter Your First Name

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My Nearest ASEA Office

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Our Union

Protecting pay, working conditions, worker rights and member benefits for you is our number one priority. Our power depends on union members like you standing up for our rights as valuable public employees. Getting active in our union democracy is one of the most critical rights you have as a member. Let us know how you would like to get involved in our union.


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Work Information

Please Select Your Employer

Please Provide an Employee Number

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Personal/Contact Information

Please Provide an Email Address

Please Confirm Your Email Address

A copy of this form will be sent to the email address provided.


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Personal email and cell phone information will be kept confidential by ASEA and AFSCME, and will be used for official ASEA union purposes only. By providing my cell phone number, I understand that the union and its affiliates may use automated call technology and/or send text messages on a periodic basis. The union will not charge for text alerts. Carrier rates may apply.


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What are my dues, anyway?

Member dues are calculated on Base Wage per Pay Period according to a progressive formula starting at $4.62. Overtime is not Base Wage and so does not increase dues. Check out the ASEA Member Dues Calculator for more information.


Are you a Park Ranger?

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State Park Rangers are eligible for legal defense fund (LDF) coverage through PORAC when they become ASEA members.

The LDF benefit adds $2.77 per pay period to your union dues (see above). Electing PORAC Plan II coverage for civil and criminal actions is voluntary and requires a one-year commitment that runs concurrent with your ASEA membership, auto-renewing annually unless cancelled.

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I Choose to be a Member of ASEA

Please Enter Your Name Above

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Sign below with mouse, touchpad, or touchscreen.

 

Please sign to accept and authorize the terms of your union membership.

I hereby apply for or commit to maintain my membership in ASEA/AFSCME Local 52 and I agree to abide by its Constitution and Bylaws. By this application, I authorize ASEA/AFSCME Local 52 and its successor or assign, (hereafter referred to as ASEA or the “Union”), to act as my exclusive bargaining representative for purposes of collective bargaining with respect to wages, hours and other terms and conditions of employment with my Employer.

Effective immediately, I hereby voluntarily authorize and direct my Employer to deduct from my pay each pay period, regardless of whether I am or remain a member of ASEA, the amount of dues as certified by ASEA, and as they may be adjusted periodically by ASEA. I further authorize my Employer to remit such amount monthly to ASEA. My decision to pay my dues by way of payroll deduction, as opposed to other means of payment, is voluntary and not a condition of my employment.

This voluntary authorization and assignment shall be irrevocable, regardless of whether I am or remain a member of ASEA, for a period of one year from the date of execution or until the termination date of the collective bargaining agreement (if there is one) between the Employer and the Union, whichever occurs sooner, and for year to year thereafter unless I give the Employer and the Union written notice of revocation not less than ten (10) days and not more than twenty (20) days before the end of any yearly period. This card supersedes any prior dues authorization card I signed.

Payments to the Union are not deductible as charitable donations for federal income tax purposes. However, they may be tax deductible as ordinary and necessary business expenses.


Let's Talk Politics Briefly

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Member dues cannot be used for political contributions. Union members can still be involved in supporting candidates and campaigns by authorizing an additional and voluntary deduction from their paycheck that is transferred to the ASEA Political Action Committee and stays in Alaska.


You may authorize a recurring payroll contribution to support the ASEA Political Action Committee. This is completely voluntary and the union will not favor or disadvantage anyone based on amount or decision to contribute.


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AFSCME PEOPLE MVP status, starting at $5 per pay period, entitles you to earn points toward MVP Rewards. You can redeem your points for a variety of exclusive items from an online catalog of union-made merchandise.

If you are already an MVP, you can take your contribution to the next level. Become a PEOPLE Champion and receive a pin to mark your commitment.

--Bronze PEOPLE Champion at $250/year.
--Silver PEOPLE Champion at $500/year.
--Gold PEOPLE Champion at $1,000/year


I authorize my employer to deduct the following voluntary contribution from my paycheck each pay period, to be paid to the ASEA Political Action Committee.

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Sign below with mouse, touchpad, or touchscreen.

 

Please sign to authorize your PAC deduction.

I understand that this contribution may be used for political purposes. My contribution is voluntary. I understand that it is not required as a condition of membership or as a condition of continued employment, and that I may revoke this authorization at any time by giving 30 days written notice.


And that's it, welcome to ASEA!

Your copy is available immediately after the form is submitted and will be sent as an attachment to your email address.


By clicking “I AGREE,” you are agreeing to sign this form by electronic means. Clicking “I AGREE” constitutes your electronic signature and will result in the submission of your signed form to ASEA. Both you and ASEA agree that any record containing your electronic signature shall be deemed for all purposes to have been signed and will constitute an original when printed from electronic records established and maintained by ASEA or its agents in the normal course of business. You do not have to sign this or any other forms electronically, and ASEA will provide you a paper copy of this form at your request. You also may update your contact information and/or request a paper copy or electronic record of this form, for no fee, by contacting ASEA at the address or phone number listed above.


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