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
Position Held
Local Number
PSAC ID Number
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 PDF format by clicking on the icon below:

 

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.