[SEND BY CERTIFIED MAIL,
RETURN RECEIPT REQUESTED]

[Union Officer’s Name]
[Union’s Name]
[Address]
[City, State, ZIP]

[Today’s Date]

Dear [Union Officer’s Name]:

Effective immediately, I hereby resign as a member at all levels of the [union’s name]. [If you pay dues by payroll deduction, include this sentence: Accordingly, I also hereby revoke my authorization for the deduction of membership dues. If you include the sentence revoking your payroll deduction authorization, you should also send a copy of this letter to your payroll department.]

Sincerely,

[Your Signature,]
[Your name (printed)]
[Your home address]
[Your employer’s name]
[Your work location]

*Religious Objectors should not use this letter to resign their union membership.*