UAW Local 4121 Voluntary Community Action Program (V-CAP)

A strong voice in politics is essential to our advocacy. Through voluntary contributions to V-CAP we help elect candidates who understand and act on our issues and hold them accountable if they don’t. If you’re eligible to vote in the U.S. please contribute!

Question Title

* Please provide your contact information (first name, last name, and email are required fields):

First Name *

Last Name *

Address

Apt #

City/Town

State/Province

ZIP/Postal Code

Department/Hiring Unit

Email Address (personal email if possible) *

Phone

Question Title

* I am eligible to vote in the U.S. and will contribute to VCAP. Subject to the terms of the collective bargaining agreement, I hereby authorize the University of Washington to withhold each and every paycheck from my earnings, UAW Voluntary Community Action Program (V-CAP) deductions in the following amount and to remit such contribution to UAW V-CAP in the manner agreed upon between the University and the Union at any time while this authorization is in effect.

Yes

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* Select a monthly amount

$2.00

$5.00

$8.50

$25.00

$50.00

Other amount (please specify)

This authorization is voluntarily made. I understand that the signing of this authorization and the making of payments to UAW V-CAP are not conditions of membership in the Union or of employment with the University of Washington, that I have the right to refuse to sign this authorization and contribute to UAW V-CAP without any reprisal, and that UAW V-CAP will use the money it receives to make political contributions and expenditures in connection with federal, state and local elections, that all UAW members may be eligible for V-CAP raffle drawings, regardless of whether they make a contribution to UAW V-CAP, and that monies contributed to UAW V-CAP constitute a voluntary contribution to a joint fundraising effort by the UAW and the AFL-CIO. This authorization shall remain in full force and effect until revoked in writing by me. I also understand that the guidelines for contributions to UAW V-CAP set forth above are merely suggestions, that I can contribute more or less than the guidelines suggest, and that the Union will not favor or disadvantage me based on the amount of my contribution or my decision not to contribute. Contributions or gifts to UAW V-CAP are not deductible as charitable contributions for federal tax purposes. All UAW members may be eligible for related raffle drawings, regardless of whether they make a contribution. UAW V-CAP is an independent political committee created by the UAW. This committee does not ask for or accept authorization from any candidate and no candidate is responsible for its activities.

UAW Local 4121 Voluntary Community Action Program (V-CAP)

Question Title

* Please provide your contact information (first name, last name, and email are required fields):

Question Title

Question Title

* Select a monthly amount

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* Last 4 digits of Social Security Number (will not be shared, collected only for compliance with elections regulations)