Board Of Aldermen - Agenda - 1/2/2020 - P145
APPENDIX #A:
FILL BOXES MARKED WITH AN (X)
REQUEST AND AUTHORIZATION FOR VOLUNTARY ALLOTMENT OF COMPENSATION FOR
PAYMENT OF EMPLOYEE ORGANIZATION DUES AND REQUEST THE UNITED FEDERATION OF
POLICE OFFICERS’ TO ACT AS MY EXCLUSIVE COLLECTIVE BARGAINING AGENT
NAME OF EMPLOYEE (Print Last Name, First, Middle) IDENTIFICATION NO. (See. Sec. or Other)
HOME ADDRESS (Street and Number) CITY AND STATE ZIP CODE
PHONE DEPARTMENT Nashua Police Department Professional Emplovees
NAME OF EMPLOYEE ORGANIZATION