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MEMBERSHIP ENROLLMENT AND PAYROLL DEDUCTION AUTHORIZATION FORM
Hillsborough School Employees Federation, Local 4154 * 5126 N Florida Avenue * Tampa, FL 33603-2154
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Old-fashioned U.S. Mail
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I hereby authorize the District School board of Hillsborough County, according to arrangements agreed to with the Hillsborough School Employees Federation (HSEF), to deduct from my salary and transmit to the Hillsborough School Employees Federation such dues and assessments as are annually certified by said union. I hereby waive all rights and claims to said monies so deducted and transmitted in accordance with this authorization and relieve the School Board and all its officers from any liability therefore. I understand that dues paid to HSEF may not be deductible for Federal Income Tax purposes; however, under limited circumstances, dues may qualify as a business expense. This authorization shall remain in full force and effect as long as the Hillsborough School employees Federation shall remain the certified bargaining agent, or until termination of my employment, or until revoked by me upon thirty (30) days written notice to the Hillsborough County School District and to the Hillsborough School Employees Federation.
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