Wash. Admin. Code § 390-17-100 - Contribution withholding authorizations for payroll deductions
Political Contribution Withholding Authorization
No employer or other person may withhold a portion of a Washington State resident's earnings (or that of a nonresident whose primary place of work is in Washington) in order to make contributions to a political committee that must report to the Public Disclosure Commission or to a candidate for state or local office without written permission from that individual. Completion of this form entitles the entity specified to make such a withholding. This authorization form remains in effect until revoked in writing by the employee.
I, |
_______ | _______________ | ___________ |
, |
authorize |
__________________ | ||||||||||
First Name |
Middle Initial |
Last Name |
Name of Employer or Other Person |
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_________________ |
to withhold $ |
________________________________ |
per/pay period/week/month/year/ |
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Amount |
Circle One |
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from my earnings in order to make political contributions to |
___________________________________ | |||||||||||||||
Name of |
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political committee(s) and/or candidate(s) to receive deductions |
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If more than one recipient is indicated, each is to receive the following portion of the |
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deduction made: |
__________________________________________________________________
. |
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Signature: |
________________________ |
Date: |
__________ |
According to state law, no employer or labor organization may discriminate against an officer or employee in the terms or conditions of employment for (a) the failure to contribute to, (b) the failure in any way to support or oppose, or (c) in any way supporting or opposing a candidate, ballot proposition, political party, or political committee.
Notes
Statutory Authority: RCW 42.17A.110 and 42.17A.495. 13-12-016, § 390-17-100, filed 5/24/13, effective 6/24/13. Statutory Authority: RCW 42.17A.110. 12-03-002, § 390-17-100, filed 1/4/12, effective 2/4/12. Statutory Authority: RCW 42.17.370. 03-08-052, § 390-17-100, filed 3/28/03, effective 4/28/03; 93-16-064, § 390-17-100, filed 7/30/93, effective 8/30/93.
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