UNION DUES FOR UNION MEMBERS

ADVANTAGE of Becoming a Non Germane Objector 2014 2015:

1- REDUCE YOUR MONTHLY DUES $$$$
2- STILL BE ENTITLED TO FAIR & IMPARTIAL REPRESENTATION

DEADLINE: July 1, 2014 OBJECTION FORM (all in one)
Effective July 1, 2014 through June 30, 2015 (the "2014-15 Fee Payer Year), SEIU LOCAL 1000
will charge fee payers who object to expenditures not germane to collective bargaining a fee of
no more than 66.44% of regular membership dues for that salary level. In order to obtain this
reduced amount, you must send an objection letter to SEIU LOCAL 1000's Membership
Processing Center. Objector letter must be received by July 1 2014.
Print & complete this form/all 6 items. If mailed, preferably certified receipt. If hand
delivered, make an additional copy to be stamped as proof of receipt.
More Info: www.seiuNGO.com

OBJECTION LETTER TO SEIU LOCAL 1000s MEMBERSHIP PROCESSING CENTER
SEIU Local 1000 Membership Cancellation & Non-Germane Objector (NGO)
I am submitting this form to cancel my SEIU Local 1000 membership
I am filing for Non-Germane Objector
I object the use of my fees for activities NOT related to collective bargaining
I challenge the Non-Germane expenditures, as SEIU Local 1000 calculated for the 2013-
14 Fee Payer Year.


________________________________________________________________
1- SIGNATURE DATE

________________________________________________________________
2- Print First/M.I./Last Name

3- Street ADDRESS__________________________________________________

4- CITY/State/ZIP: __________________________________________________

6- Department: _____________________________

5- Agency/Bargaining Unit see: www.seiuNGO.com ________
6- Last 4 digits of your SSN (for identification) ___________

Form must be received by SEIU by July 1, 2014.
CSEA/SEIU Membership 1108 O Street, Ste 415 Sacramento, CA 95814