MEMBERSHIP FORM/DUES AUTHORIZATION
BENEFICIARY/ADDRESS CHANGE/EMAIL CHANGE
I hereby request and accept membership in the State Employees Trades Council-United (SETC-United). I accept and assume all rights and obligations of membership in SETC-United, including the obligation to pay membership dues in an amount equivalent to the membership dues approved by the membership of the State Employees Trades Council-United.
I authorize my employer, the University of California, to deduct the monthly membership dues for SETC-United from my wages and remit these deductions directly to SETC-United. This authorization supersedes and revokes any and all prior authorizations for deduction of union dues from my wages earned as a UC employee.
Please complete the attached “Employee Organization Membership Payroll Deduction Authorization” form and submit to your campus steward or payroll office.
Please complete this form in its entirety and check all boxes that apply, sign and mail to:
SETC-United Main Office
2037 W. Bullard Ave., #518
Fresno, CA 92711-1200
or fax to 707-293-9440.