Use this form to exercise your newly-won Janus Rights for public sector employees.

Complete the following to have a personalized letter emailed to you.  Your completed “Janus Rights Letter for Non-Members” will be in the body of the email.

  • 1) Simply copy and paste the body of the email that we send to you into your MS Word or similar program;
  • 2) Check for any errors;
  • 3) Print out three copies;
  • 4) Sign the copies;
  • 5) Mail one letter to the union (it is recommended that you use certified mail);
  • 6) Mail one to your employer; and
  • 7) Keep a copy for your records.

Make certain your information and email address are correct.  (If you do not receive an email in 10 minutes, check your junk mail folder. If it is not there, the email address may have been entered incorrectly. Try again or contact us to confirm we received and have the correct information.)

Janus Rights Letter for Non-Members Sample Letter Form

Janus Rights Letter for Non-Members
First Name
Middle Name or Initial
Last Name
Suffix (Sr., Jr., III, etc.)
Make certain this address is correct because this is where we will shortly email you your completed resignation form. (If you do not receive an email in 1 minute or less check your junk mail folder. If it is not there, the email address may have been entered incorrectly. Try again or contact us to confirm we received and have the correct information.) Your form will be in the body of the email for you to paste in your document program like MSWord or WordPerfect to format, print, and sign. If you are having trouble, contact us and we can format a letter and email it to you as Adobe .pdf for you to print, sign, and mail.
Union's mailing address is where you will send a SIGNED copy of your letter.
Employer's mailing address is where you will send a second SIGNED copy of your letter. (Keep a copy of at least one of the signed letters)

Do not close this page until you see a note that your information was successfully submitted.