SEIU Healthcare Illinois & Indiana




Membership Application - Yes, I want to join with my fellow home care workers in organizing to win higher wages, benefits, improved working conditions and quality care. I hereby voluntarily apply for and accept membership in SEIU Healthcare Illinois & Indiana (“Union”) and voluntarily designate it as my exclusive representative in collective bargaining for wages, hours, benefits and working conditions.

I accept all the rights, responsibilities and benefits of Union membership and I agree to abide by the Union's Constitution and Bylaws and by the Service Employees International Union Constitution and Bylaws. I also acknowledge my right to be or remain a nonmember.

I recognize the need for a strong union and believe everyone represented by our union should pay their fair share to support our union's activities. 

I authorize and direct the State of Illinois to deduct from my earnings every pay period the periodic dues, assessments, and service fees established by the Union, and direct that such amounts be forwarded to the Union. This authorization and direction will remain in effect until revoked by me in writing. This authorization is not conditioned upon my present or future membership in the Union.

Dues, contributions and gifts to the Union are not tax deductible as charitable contributions for Federal income tax purposes, but they may be deductible under other provisions of the Internal Revenue Code.