Verification and Release Form First Name Last Name Member ID (optional) Email Phone/Mobile Attach Photo Choose File Notes I verify that the above and/or attached statements are true and correct, and that I am at least 18 years of age. I give 32BJ Service Employees International Union and its affiliated organizations (the “Union”) permission to use my name, attached photograph(s) and/or statements and/or video in Union publications, websites, mobile applications, flyers, advertisements and videos. Submit Form
