We’re Moving Forward with SEIU 721

Please note there are two sections with separate signature fields. The first signature is your request to no longer be represented by the Association of Long Beach Employees (ALBE). The second signature authorizes SEIU Local 721 to represent you. Please be sure to complete both sections.

Union Decertificaton Card
By signing this authorization card I declare that I no longer wish to be represented by the Association of Long Beach Employees (ALBE).
Name*
First Last
Employer*
Job Title*
YES, I UNDERSTAND AND AGREE TO THE TERMS ABOVE.*
- Yes
Please check the box to confirm
Digital Signature*

BY CLICKING SUBMIT, YOU ACCEPT THAT YOUR PRINTED NAME, IP ADDRESS AND THE DATE AND TIME WILL BE USED AS YOUR DIGITAL SIGNATURE FOR THE PURPOSES OF THIS FORM.
Today's Date*
Union Authorization Card
I support working together with my co-workers for a voice in decisions that affect our professions and our future. I authorize SEIU Local 721 to represent me in collective bargaining with my employer concerning wages, hours, and other terms and conditions of employment. I understand that this authorization card will also be used by Service Employees International Union (SEIU) Local 721 to obtain recognition.
Name*
First Middle Last
Address*
Street Address City ZIP / Postal Code
Home Phone
Cell Phone*
Allow Text
I agree
By providing my phone number, I understand that SEIU and its locals and affiliates 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. To unsubscribe,text STOP to 31996. For info, text HELP to 31996.
Personal Email*
Date of Hire*
Employer*
Job Title*
YES, I UNDERSTAND AND AGREE TO THE TERMS ABOVE.*
- Yes
Please check the box to confirm
Digital Signature*

BY CLICKING SUBMIT, YOU ACCEPT THAT YOUR PRINTED NAME, IP ADDRESS AND THE DATE AND TIME WILL BE USED AS YOUR DIGITAL SIGNATURE FOR THE PURPOSES OF THIS FORM.
Today's Date*

We’re Moving Forward with SEIU 721

Union Decertificaton Card

Union Authorization Card