Here is an example of a private-sector union member's Beck request.
TODAY'S DATE HERE
UNION PRESIDENT'S NAME
Dear Sir or Madam:
In accordance with the U.S. Supreme Court's decision in Patternmakers v NLRB, I hereby resign my membership with the union, (insert union name), effective immediately.
Furthermore, I wish to exercise my rights pursuant to Communication Workers v Beck, and declare myself to be a Beck objector. Pursuant to the Supreme Court's Beck decision, I object to the use of my dues money for any purposes other than those related to collective bargaining, contract administration, and grievance processing in my immediate bargaining unit. Any fees that are not related to these financial core activities should be immediately deducted from my dues, pursuant to the procedures outlined by the U.S. Supreme Court.
I also desire to exercise my rights to a full accounting performed by an independent auditor and a reasonably prompt opportunity to challenge any fees before an impartial decision-maker. I further insist that any disputed fees be placed in escrow pending a final determination as to the appropriateness of any asserted charges.
Please provide me with an accounting as soon as possible. Until such time as an accounting is provided to me, please escrow all of my dues that are not subject to an immediate rebate. Additionally, if there will be any delay in obtaining a full accounting, please advise me as to when this information will be forthcoming.
I would appreciate a prompt response to my request.
YOUR HOME ADDRESS
YOUR COMPANY'S NAME
YOUR WORK LOCATION