| 2.__Authorization form.__The authorization required in |
| subsection 1 must be provided on an authorization form prescribed |
| by the Commissioner of Labor.__At a minimum, the form must |
| contain the name of the individual granting the authorization, |
| the labor organization to which the authorization is granted, the |
| total annual amount of dues, agency shop fees or other fees that |
| may be used to make contributions or expenditures and the |
| signature of the individual granting the authorization.__The |
| form's title must read, in at least 24-point bold type, |
| "Authorization for Political Use of Fees" and must also state, in |
| at least 14-point bold type, the following words immediately |
| above the signature line: |