Section 1110.APPENDIX A Sample Authorization Card

I authorize	(employee organization)		to be my exclusive
collective bargaining representative for all purposes of collective bargaining with my employer,
		.

Name (printed or typed)

Employment position

Signature

Date

If a majority of the employees in the bargaining unit sign authorization cards, these cards may be used to obtain recognition without an election.

(Source: Amended at 41 Ill. Reg. 10587, effective August 1, 2017)