Teamsters Local 14
Representing Public and Private Sector Workers since 1955
  • May 23, 2017
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  • Application and Bargaining Authorization
    Application and Bargaining Authorization
    General Sales Drivers, Delivery Drivers and Helpers
    Local Union #14
    Affiliated with the International Brotherhood of Teamsters

    DATE OF APPLICATION
    I, the undersigned, hereby apply for admission to membership in the above Local Union and voluntarily choose and designate it as my representative for purposes of collective bargaining, hereby revoking any contrary designation. If admitted to membership, I agree to abide by the Constitution of the International as well as the Local Union Bylaws which are not in conflict with International laws and thereupon accept and assume the following oath of obligation: I pledge my honor to faithfully observe the Constitution and laws of the International Brotherhood of Teamsters. I pledge that I will comply with all the rules and regulations for the government of the International Union and this Local Union. I will faithfully perform all the duties assigned to me to the best of my ability and skill. I will conduct myself at all times in a manner as not to bring reproach upon my Union. I shall take an affirmative part in the business and activities of the Union and accept and discharge my responsibilities during any authorized strike or lockout. I will never discriminate against a fellow worker on account of creed, color or nationality. I will at all times bear true and faithful allegiance to the International Brotherhood of Teamsters, and this Local Union.
    First Name:
    Last Name:
    Occupation:
    Address:
    City, State: ,
    Zip Code:
    Phone:
    Email Address:
    Employer Name: CCSD
    Employer Address: 5100 W. Sahara Ave. Las Vegas, NV 89146
    Employer Phone: (702) 799-5000
    Current Hourly Wage:
    Employment Date:
    Initiation Fee:

    $ N/A
    Paid To: N/A
    Date of Birth:
    Last 4 of SSN:
    Have you ever been a member of a Teamster Local Union? Yes     No
    If yes, what Local Union No.?
    Note: All initiation money left on deposit by default of applicant shall be considered forfeited in 30 days.
    Beneficiary:
    Relationship:
    Address of Beneficiary:
    City, State of Beneficiary:
    Zip Code of Beneficiary:
    Name:
    *By typing my name I hereby agree to the terms associated with this membership application.

    Checkoff Authorization and Assignment
    General Sales Drivers, Delivery Drivers and Helpers
    Local Union #14
    Affiliated with the International Brotherhood of Teamsters

    I,, hereby authorize and direct my Employer every month to deduct from my wages all initiation fees, reinitiation or reinstatement fees, membership dues and uniform assessments as required by Teamsters Local No. 14 or its legal successor. I further authorize and direct that these monies so deducted be turned over each month to the Secretary-Treasurer of Teamsters Local No. 14.

    This authorization and assignment shall be irrevocable for a period of one year or until the termination of the applicable collective bargaining agreement, whichever occurs first, and shall thereafter be automatically renewed for successive periods of one year or until the termination of the applicable collective bargaining agreement, whichever occurs first, unless written notice is given by me to my Employer and the Union at least 60 days but not more than 75 days prior to the expiration of each one year period or of the applicable collective bargaining agreement, whichever occurs first. Union due are not deductible as charitable contributions from Federal Income Tax purposes.

    This authorization and assignment is made pursuant to Section 302 of the National Labor Relations Act, as amended, and is in full force and effect to the extent permitted by the act.

    Name:
    *By typing my name I hereby agree to the terms of this Checkoff Authorization 
    Last 4 of SSN:
    Date:
    Address:
    City, State: ,
    Zip Code:
    Employer: CCSD 5100 W. Sahara Ave. Las Vegas, NV 89146

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