AUTHORIZATION FOR REPRESENTATION UNDER THE NATIONAL LABOR RELATIONS ACT

Your Name *

Your Occupation - Job Description *

Your Home Address *

City *

State *

Zip Code *

Employed At *

Company Address *

City *

State *

Zip Code *

Authorize Agreement *

I hereby designate the TEAMSTERS GENERAL UNION, LOCAL No. 662, GREEN BAY, WISCONSIN, affiliated with the Brotherhood of Teamsters, to represent me for the purpose of collective bargaining and in any and all situations that may arise under the operation of the National Labor Relations Act, and/or with any individual employer where the provisions of the National Labor Relations Act are not invoked, and to negotiate in my behalf a labor agreement covering wages, hours, and working conditions.

Agree

Shift Designation *

Signature *

Use your mouse, finger, or touch device to write your signature.

Date *

Phone Number *

* Required Fields