Payroll Authorization

PAYROLL AUTHORIZATION SEIU-UHW UNION DUES

At Enloe Medical Center

Pursuant to Article 3.A and 3.C. of the Collective Bargaining Agreement between Enloe Medical Center and SEIU-UHW July 11, 2015 – June 30, 2018

Article 3.A Union Membership Requirement 1. During the life of this Agreement, employees of the Employer who are subject to this Agreement shall be required as a condition of employment to maintain membership in the Union in good standing, subject to federal law. Compliance is required by the 31st day after employment or the 31st day after the date of this Agreement, whichever is later. 2. An employee who fails to comply with this requirement shall be replaced within forty-five (45) days after written notice to the Employer by the Union concerning the delinquency, unless the employee has remedied the delinquency within said forty-five (45) day period. The Union will hold the Employer harmless from any claims or liability arising out of this Section, including the expense of defending against such claims.

I, ______, hereby authorize Enloe Medical Center to deduct union dues from my wages each pay period. Dues deducted from my paycheck are dues owed from the preceding pay period. Enloe Medical Center will pay that amount to SEIU-UHW on my behalf.

Amount of Dues Dues are two percent (2%) of regular earnings, up to a maximum of forty (40) hours paid per week at the straight time rate, including regular straight time hours, paid time off. Dues are not charged on overtime pay, callback pay, standby pay, differentials, and premiums paid in lieu of benefits.

Signature______Date______

Employee Name______ID #______(please print) (6 digit # on front of Enloe ID badge)

Address______

______Phone ______

THIS FORM MUST BE SUBMITTED TO ENLOE MEDICAL CENTER PAYROLL DEPARTMENT

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