Union of Solicitor General Employees - USGE Representative Information Form

ELECTRONIC USGE REPRESENTATIVE
INFORMATION FORM

NOTE: THIS IS A TWO-STEP PROCESS.

PLEASE READ THE FOLLOWING INSTRUCTIONS

CAREFULLY!

STEP ONE - Form for use only by the

USGE National Office and Local

a) Complete the following form by typing the required information

in the shaded areas.

b) Print a copy of the completed form for your Local’s records

before pressing the ‘Send’ button at the end of the form.

IMPORTANT NOTE FOR LOCAL PRESIDENTS: To facilitate

communication within our union, we are asking each Local President

to permit us to publish his/her name, work telephone number and

work e-mail address on the USGE web site.

If you agree, please check the following box. I Agree

A – TERM OF OFFICE:
From To

B – CONTACT INFORMATION:
Full Name
Local Number
PSAC ID Number
Union Position Held
Classification
TEL : Work
TEL : Home
Work Fax
Other
E-mail
Address
City
Province
Postal Code
Language	English Français

C - CONTACT INFORMATION CHANGED BECAUSE:
1. Elected to position of: Replacing:
2. Changed position to:
3. Change of name from:
4. Change number of telephone fax or address
5.. Resignation on following date :

Important
1) Print a copy of this page for your Local files BEFORE submitting this form electronically.	2) Click on the ‘Send’ icon below to automatically submit this information to the USGE National Office.

STEP TWO - Form to be given by Local representative

to management representative

(Do not send copies of this form to the USGE National Office)

a) Download the following form in your choice of RTF or PDF formats:

b) Print out a copy of the form and complete all required information.

c) Provide a copy of the form to the appropriate management representative.

d) Keep a copy of the form for your Local’s files.