Local Union 1095 Affiliated with the Laborer’s International Union
of North America, AFL-CIO
I , do hereby assign to Local Union Laborers International Union of North
America, AFL-CIO, such amounts from my wages as shall be required to pay
an amount equivalent to the initiation fees, readmission fees and membership
dues of the local union as may be established for its members from time
to time. My Employer, including my present Employer and any future Employer,
is hereby authorized t deduct amounts from my wages and pay the same to
the local union and/or it authorized representative, in accordance with
the collective bargaining agreement in existence between the Union and
my Employer.
This authorization shall become operative upon the effective date of each
collective bargaining agreement entered into between my Employer and the
Union.
This authorization shall be irrevocable for a period of one (1) year,
or until termination of the collective bargaining agreement in existence
between my Employer and the Union, whichever occurs sooner; and I agree
and direct that this authorization shall be automatically renewed and shall
be irrevocable for successive periods of one (1) year each, or for the
period of any subsequent agreement between my Employer and the Union, whichever
shall be shorter, unless written notice is given by me to my employer and
the local union not more than twenty (20) days not less than ten (10) days
prior to the expiration of each period of one (1) year, or of each applicable
collective bargaining agreement between my Employer and the Union, whichever
occurs sooner. For the effective period of this checkoff authorization
and assignment, and to the extent permitted by law, furthermore, this checkoff
authorization shall continue in accordance with the above renewal and revocations
provisions irrespective of my membership in the Union.
Union dues and fees are not deductible as charitable contributions for
federal tax purposes. Local dues may qualify as business expense, however,
and may be deductible in limited circumstances subject t various restrictions
imposed by the Internal Revenue Service.