Union Local Membership

To become a member of WNYCOSH as a Union Local, please fill out the form below. You can pay dues online thru our PayPal account.

You can also download a membership form here.

Union Local Membership

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Union Local Information
Name
Union Name Local Number
Union Office Address
Street Address Address Line 2 City State ZIP Code
Phone
Email
Number of Workers Represented
Union Membership
Union locals' dues for WNYCOSH membership are assessed on a sliding scale based on membership.
- 0-500 Members ($150)
- 501-1000 Members ($200)
- 1001-1500 Members ($300)
Union Officer Information
Local President Name
First Last
Email
Phone
Union Representatives Contact Information
Please list the names, phone numbers and emails for your Safety and Health, Workers' Compensation, and Legislative Com. Representatives.
Name Phone Email
Voting Delegate Information
As a WNYCOSH member, your local has the right to appoint delegates to represent your union membership at all WNYCOSH meetings and functions. Delegates shall also have the right to vote, hold office and participate in all WNYCOSH activities. The number of voting delegates from your union local is based on the number of members in your local. Every union local shall be entitled to one voting delegate, regardless of size. Thereafter, locals are entitled to one voting delegate for every 250 members up to a maximum of 10 delegates.
Delegate Contact Information
The following people have ben designated as WNYCOSH delegates to represent our local at WNYCOSH meetings and functions. At least two “active” delegates (if possible) should be listed who will have time to attend WNYCOSH meetings and assist with functions. List below their names, addresses, telephone numbers, and email addresses (work telephone number or email, should only be listed if contact can be made at work). We anticipate that this year “rank and file” mobilization in defense of safety and health will be critical.
Name Home Address Phone Email Union Position

Name	Phone	Email

Name	Home Address	Phone	Email	Union Position

Union Local Membership

Union Local Membership

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Union Local Information

Union Officer Information

Voting Delegate Information