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Decertification Authorization Card  

Name (printed)____________________________________ Agency where employed __________________________  

I DO NOT want to be represented by: (Check your union)

I do want to vote to Decertify this union

____ Washington Public Employees Association WPEA/UFCW

____ Washington Federation of State Employees WSFE/AFSCME

____ Service Employees International Union  SEIU

____ Teamsters  

_____________________________________________________

Signed                                                                       Date

Mail to FWLA, PO Box 1854 , Tacoma WA 98401-1854

_____________________________________________________________________________________________________________________________________________

Decertification Authorization Card  

Name (printed)____________________________________ Agency where employed __________________________  

I DO NOT want to be represented by: (Check your union)

I do want to vote to Decertify this union

____ Washington Public Employees Association WPEA/UFCW

____ Washington Federation of State Employees WSFE/AFSCME

____ Service Employees International Union  SEIU

____ Teamsters  

_____________________________________________________

Signed                                                                       Date

Mail to FWLA, PO Box 1854 , Tacoma WA 98401-1854

_____________________________________________________________________________________________________________________________________________  

Decertification Authorization Card  

Name (printed)____________________________________ Agency where employed __________________________  

I DO NOT want to be represented by: (Check your union)

I do want to vote to Decertify this union

____ Washington Public Employees Association WPEA/UFCW

____ Washington Federation of State Employees WSFE/AFSCME

____ Service Employees International Union  SEIU

____ Teamsters  

_____________________________________________________

Signed                                                                       Date

Mail to FWLA, PO Box 1854 , Tacoma WA 98401-1854