Organizing Member Cards – Public Sector

Welcome!

Signing a BMS organizing card is the first step in building a strong union voice. This card authorizes the Bureau of Mediation Services (BMS) to recognize your support for forming a union. By signing, you’re saying yes to joining with your coworkers to secure fair wages, better working conditions, and a real voice on the job.

Instructions to Complete the Fillable BMS Authorization card.

Open the Form: Click the link to open the fillable PDF form in your browser.
Export and Save the Form: Use your browser's Export as a PDF option to save the form to your desktop or another easily accessible location.
- Example: In Safari, on the top left corner of your screen, go to File > Export as PDF > Save to your desktop or a location you can easily access, then Open the pdf in Adobe (or a pdf reader application).
Complete, Sign and Save the Completed Form: Complete the required fields, Sign the pdf, and Save the file with your information.
Submit the Form: Email the completed form as an attachment to organize@afscmemn.org.

BMS Authorization Card

Thank you for taking this step to join a strong union that stands with its members!

Join our Union and become an AFSCME member with Dues Authorization.

By signing this authorization card, you are choosing AFSCME Council 5 to represent you in matters related to your workplace. Your membership helps ensure your voice is heard, your rights are protected, and you have support in negotiations and workplace issues.

First Name

Middle Initial

Last Name

Employer

Job Title

Street Address

Apartment, Suite, etc.

City

State

ZIP/Postal Code

Home Email

Work Email

Home Phone

Work Phone

Cell Phone †

† By providing my cell phone number I consent to receive calls (including recorded or autodialed calls, or texts) at that number from AFSCME and its affiliated labor, political and charitable organizations on any subject matter. My carrier’s rates may apply. I may modify my preferences by calling the Union at 651.450.4990 or emailing the Union at Council5@afscmemn.org.

Authorization

I hereby apply for membership in Minnesota AFSCME Council 5 (hereafter the “Union”) and I agree to abide by its Constitution and Bylaws. I authorize the Union and its successor or assign to act as my exclusive bargaining representative for purposes of collective bargaining with respect to wages, hours and other terms and conditions of employment with my Employer.  

Effective immediately, I hereby voluntarily authorize and direct my Employer to deduct from my pay each pay period, regardless of whether I am or remain a member of the Union, the amount of dues certified by the Union, and as they may be adjusted periodically by the Union, and to authorize my Employer to remit such amount monthly to the Union. 

This voluntary authorization and assignment shall be irrevocable, regardless of whether I am or remain a member of the Union, for a period of one year from the date of execution, and for year to year thereafter unless I give the Employer and the Union written notice of revocation not less than thirty (30) days and not more than forty-five (45) days before the end of any yearly period. This card supersedes any prior check-off authorization card I signed. 

I recognize that my authorization of dues deductions, and the continuation of such authorization from one year to the next, is voluntary and not a condition of my employment. 

Payments to the Union are not deductible as charitable donations for federal income tax purposes. However, state law may extend favored tax treatment.

Signature

My electronic signature is a binding and valid signature. By signing here I agree to all of the terms and conditions set out in this authorization, which apply to my membership, dues payments and, if applicable, PEOPLE payments.