Delegate Release Form
AFT-Oregon 2023 Convention: COMPLETE IF A DELEGATE LEAVING CONVENTION HAS NO ALTERNATE
If a delegate needs to leave the Convention during session and there is no alternate to take their place, a Delegate Replacement Form shall be filled out.
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Email *
Signed Statement

I, [ Delegate Name ], hereby request dismissal from the 2023 Convention, today, [ Date ]. I hereby direct the Credentials Committee to release my votes to be distributed amongst my fellow delegates of Local [ Local # and Name].

Delegate Name
 *
Today's Date *
MM
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DD
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YYYY
Local # and Name *
Delegate Electronic Approval Signature (Typed) *
Ranking Delegate Electronic Approval Signature (Typed) *
A copy of your responses will be emailed to the address you provided.
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