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REQUEST FOR PAYROLL DEDUCTIONS FOR LABOR …

Standard Form 1187 REQUEST FOR PAYROLL DEDUCTIONS . Revised March 1989. Office of Personnel Management FOR LABOR ORGANIZATION DUES. Privacy Act Statement Section 5525 of Title 5 United States Code (Allotments and Assignments of 5) an organization which is a designated collection agent of a particular LABOR Pay) permits Federal agencies to collect this information. This completed form organization; and 6) other Federal agencies for management, statistical and other is used to REQUEST that LABOR organization dues be deducted from your pay and official functions (without your personal identification).

I hereby authorize the above named agency to deduct from my pay each pay period, or the first full pay period of each month, the amount

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