IBEW Union Authorization Card

The authorization is a card or petition signed by an employee indicating his or her desire to form a union at their place of employment. The authorization states that the employee “authorizes the IBEW to represent them in collective bargaining.”

All information is strictly confidential and never shared outside of the union.

State House Employee Union Authorization Card

I authorize the International Brotherhood of Electrical Workers to represent me as my bargaining representative in collective bargaining with my employer.

Date *

Name *

First

Last

Personal Email *

Personal Cell Phone

Home Address

Address Line 1

Address Line 2

City

State

Zip Code

Office Name *

Room Number *

Department *

Senate
House of Representatives

Job Title *

IBEW Authorization *

I Agree - By checking this box, I understand and acknowledge that I am authorizing the International Brotherhood of Electrical Workers to represent me as my bargaining representative in collective bargaining with my employer. This Authorization is non-expiring binding and valid until such time as I submit a written revocation.