Get Revoke Wage Assignment Form

Filling out the Revoke Wage Assignment Form online is a straightforward process that allows users to formally revoke their authorization for wage deductions related to union dues. This guide provides step-by-step instructions to help you complete the form with ease.

Follow the steps to fill out the Revoke Wage Assignment Form effectively.

1. Click the ‘Get Form’ button to access the form and open it in your designated document editor.
2. Begin by entering the effective date of the revocation at the top of the form. This should indicate the date when you wish the revocation to take effect.
3. Provide your full name in the designated fields for last name, first name, and middle initial. Accuracy in these details is important.
4. Fill in your Employee Identification Number in the specified field. This number is crucial for identifying your employee record.
5. Complete your home address, including the street, city, state, and zip code. This information helps confirm your identity and contact details.
6. Indicate your occupation in the appropriate field. This may provide additional context related to your employment.
7. Enter your Local Number, which typically corresponds to your union affiliation, if applicable.
8. Provide your Social Security Number in the specified field. Ensure this information is kept confidential.
9. Sign the form in the designated area to verify your request for revocation.
10. Lastly, include the date on which you are filling out the form. This should reflect the current date.
11. Once all fields are accurately filled, you can save the changes, download a copy, print the form, or share it as needed.

Take action today by completing your Revoke Wage Assignment Form online.