WASHINGTON FEDERATION OF STATE EMPLOYEES/AFSCME, Council 28/AFL-CIO

WFSE is the largest union for state, higher education and public service employees in the state of Washington!
We are 40,000 members strong - a powerful voice to protect jobs, pay, benefits, worker rights, working conditions and
public services. Over the past few years, united we have:
Bargained for higher pay and creating 2 new pay step increases (L & M-steps);
Fought for affordable health insurance, maintaining medical premiums and co-pays;
Preserved thousands of living wage jobs despite attempts to eliminate jobs and services
during the worst recession in 50 years; and
Provided a powerful voice for state employees and the services we provide in our
communities.
As WFSE members, we continue to make a difference. By joining together, we have power in the halls of government
and at the contract bargaining table. WFSE is Washingtons most powerful advocate for public service employees,
working families, and strong communities. By becoming a union member you create a stronger and united voice to
take a stand for public service employees and the services we provide.

UNION MEMBERSHIP CARD / Payroll Deduction Authorization

YES! I choose to be a union member. I support advocating for quality services and good jobs. I understand that by becoming a
union member I will make our union stronger to protect jobs, public service employees and the services we provide!
Last 4 of SSN:

Employee ID#: Nickname (if any):

NAME: Last First MI

Home Address:
City: State:

Zip:

Mailing Address (if different):

City: State:

Zip:

PHONE: Cell Home Work

Gender: Male Female

Birth Date:

Home Email:

Employer: Job Class/Title: Work City:

Worksite: Date Hired into Position: Shift:
In accordance with the Washington Federation of State Employees, Council 28, AFSCME, AFL-CIO (WFSE) collective bargaining agreement with my employer, I authorize and direct my
employer to deduct from my pay each pay period, regardless of whether I am or remain a member of the Union, the amount of dues as set in accordance with the WFSE Constitution and
By-Laws (currently 1.5% of my salary each pay period, not to exceed the set maximum). This authorization shall be irrevocable, regardless of whether I am or remain a member of the
Union until terminated by me by written notification to my employer with a copy to the WFSE in accordance with the collective bargaining agreement.

MEMBER SIGNATURE

DATE

Dues or fees paid to WFSE are not deductible as charitable contributions for federal income tax purposes. Dues or fees paid to the WFSE, however, may qualify as business
expenses and may be deductible in limited circumstances subject to various restrictions imposed by the Internal Revenue Service.

NON-PROFIT ORG
US POSTAGE
PAID
OLYMPIA WA
PERMIT NO. 238

BUSINESS REPLY MAIL

FIRST-CLASS MAIL

PERMIT NO 200

OLYMPIA WA

POSTAGE WILL BE PAID BY ADDRESSEE

Washington Federation of State Employees, AFSCME Council 28

1212 JEFFERSON ST SE STE 300
OLYMPIA WA 98501-9965

Protecting and improving pay, working conditions, worker rights, and member-benefits for you is our
number one priority. Our power depends on the participation of union members like you standing up for
our rights as valuable public service 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.

As a union member, I am interested in participating in my Union in the following ways:

Building power with members age 35 and under (Next Wave)

Phone calling union members about events and current issue

Building power through our Public Safety Caucus

(open only to Public Safety employees)

Getting co-workers more involved in workplace actions,

events, and current issues

Building power through our Conservative Caucus

Training as a shop steward to help my co-workers

Building power through our Green Caucus

Taking political action

Connect with WFSE: www.wfse.org | Twitter.com/wfsec28 | Facebook.com/wfsec28 | Contactus@wfse.org

All employees covered by a collective bargaining agreement must, as a condition of employment pay either union dues or a union representation fee to the WFSE no later than 30 days
following the effective date of the bargaining agreement or the beginning of their employment in a covered bargaining unit position. If you choose to NOT become a union member
please provide the information requested on the reverse and sign and date below indicating your choice to NOT become a union member.
I understand that by choosing NOT to become a WFSE union member I still must pay a union representation fee but I am giving up the right to participate in all union activities. I will
be unable to vote for union officers. I will be unable to participate in union member trainings and events. I will not be eligible to vote to accept (or reject) my union contract or proposed
changes in wages or benefits as a result of contract negotiations. I will not be eligible for member-only union benefits. I will not be eligible to participate in union-management meetings
regarding workplace concerns. I will not have the right to vote on the ratification of the collective bargaining agreement or in any union elections. As a non-member I authorize the deduction from my earnings each payroll period of the union representation fee in accordance with the collective bargaining agreement and as allowed in RCW 41.80.100.

NON-MEMBER SIGNATURE DATE

NAME: Last First Employer

Home Email: Phone: