Why Membership Matters

Join your co-workers in keeping your union strong by becoming a member or by renewing your membership

Our strength lies in our unity and our numbers. With more members, we have more power to win better contracts and a stronger voice to protect our rights, healthcare and retirement benefits. Members are also eligible for many exclusive benefits, including the SEIU free college program, scholarships, discounts, and more.

Member Application Payroll Authorization

First Name*
Last Name*
Address Line 1*
Zip Code*
Cell Phone*
Personal Email*
*By providing my cell phone number, I hereby consent to receive updates by text and automated calls. I understand that SEIU and its locals and affliates may use automated calling technologies and/or text message me on my cellular phone on a periodic basis. SEIU will never charge for text message alerts. Carrier message and data rates may apply to such alerts. Text STOP to 55000 to stop receiving messages. Text HELP to 55000 for more information.
Employer*
Preferred Language
Preferred Gender Pronouns
I designate SEIU 1021 to represent me regarding terms and conditions of my employment. I hereby authorize the employer to deduct from my earnings and to transmit to SEIU 1021 membership dues, fees, and/or contributions, at rates determined by the Union. This authorization will remain in effect unless revoked in writing, signed, via U.S. mail to SEIU 1021 headquarters. If such payments are not made by payroll deduction and forwarded to the Union each month, it is the obligation of the employee to make the payment directly to the Union. Contributions or gifts to SEIU 1021 are not tax deductible as charitable contributions. However, they may be deductible as ordinary and necessary business expenses.

Employee Signature

Signature Date: Sep-29-2020

Committee on Political Education ("COPE") Authorization

YES! I want to hold politicians accountable!

I hereby authorize my employer to deduct from my pay/transmit to SEIU the sum of:
To be deducted per pay period in addition to the regular dues deduction as a voluntary contribution to SEIU COPE Political Action Fund and to forward the amount to SEIU 1021. I understand that contributions to this fund are not a condition of membership in the Union nor of employment, the contribution amounts on this form are merely suggestions, and I may contribute more or less or not contribute without fear of favor or disadvantage from SEIU or my employer. SEIU 1021 will use the money it receives for member education, issue advocacy and make contributions and independent expenditures in connection with local, state and federal (through SEIU COPE) elections and ballot initiatives to the extent permitted by law. This authorization shall remain in effect until revoked by me in writing, signed, via U.S. mail to SEIU 1021 headquarters. Contributions to the SEIU 1021 COPE Political Action Fund are not deductible as charitable contributions for income tax purposes.

Signature Date: Sep-29-2020