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Registration Form
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2016-04-11T14:46:54-04:00
Uber and Other TLC Driver Form
Uber and Other TLC Driver Form
Designation Of Collective Bargaining Representative and Application for Membership
I am a TLC driver, primarily employed by
*
and I hereby designate and authorize the above-named Union to act for me as my collective bargaining agent in all matters pertaining to wages, hours, and other terms and conditions of employment; and I hereby also apply for membership in the above-named Union.
Name
*
First
Last
Date
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Email
*
Enter Email
Confirm Email
Location
*
choose one...
Bronx
Brooklyn
Connecticut
Manhattan
New Jersey
Staten Island
Queens
Westchester
Nassau
Suffolk
Phone/Cell#
*
*
By checking this box, I agree to receive future communications, including SMS text messages from Local 1181-1061, Amalgamated Transit Union, AFL-CIO
By clicking the submit button below, I affirm that I am authorizing Local 1181-1061, Amalgamated Transit Union, AFL-CIO to act for me as my collective bargaining agent in all matters pertaining to wages, and other terms and conditions of employment.
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