Annual Per Capita Determination and Local Dues Report Local * Workplace/Shop * Per Capita Determination Workplace’s average hourly wage as of November 1, 2025 * $ Monthly Per Capita rate for Jan. 1, 2026 thru Dec. 31, 2026 * $ Wage substantiation documentsAll locals are required to submit average wage substantiation documents (which lists each bargaining unit members’ rate of pay). If you have more than three files, please email the additional documents to Megan Moffitt at the national office (megan.moffitt@ueunion.org). Wage substantiation document #1 * Wage substantiation document #2 Wage substantiation document #3 Local Dues Report Please select which dues deduction schedule is used: * Weekly Bi-Weekly Semi-Monthly Monthly Please select how the local determines the dues charged for each member: * SET Dues Rate: Local charges the same dollar amount, percentage amount or hourly amount to every member. For example, everyone is charged $35 (per month), or charged 1.44% of earnings or 2.5 hours of member’s earnings. FLAT TIER Dues Rate: Local charges dollar amount on a tier system. For example, for wage between $15-$20 dues is $35, for wage between $20-$25 dues is $45 and for wage at $25.01+ dues is $50. OTHER Dues Rate: Please describe below and/or contact Megan Moffitt at UE. Dues Amount(s) * Please list the dues amount in dollars, hours, or percentage (if set dues rate selected), or amounts and ranges (if flat tier dues rate selected). If you selected other, please describe here. Your information Name * Office held in local * Email * Leave this field blank
