Please complete all required fields below to submit your alternate information. Your submission helps ensure proper representation at the upcoming convention. Please note, all fields marked with a red asterisk (*) are required.
Method of Alternate's Election (Select one of the four options below to describe the method by which the member was selected as an Alternate)
* Alternates not elected by secret ballot and any who were elected by the Executive Board or the Delegate Assembly are not eligible to vote in the election of International Officers. Alternate elections must be held on or after Loading…, unless the affiliate meets less than quarterly.
The signatures of the officers below certify that the member named above was: 1) selected by the Method of Election indicated above without opposition or by secret ballot as required under the International Constitution, 2) has been a member in good standing as of Loading… and 3) is otherwise eligible to serve as a delegate to the Loading… of the American Federation of State, County and Municipal Employees, AFL-CIO, scheduled to convene at 10:00 a.m. ET on Loading date… Loading location…
Please provide details about the person submitting this form. If you are submitting on behalf of someone else, complete all fields below. This information helps us verify the source of the submission and ensure timely follow-up if needed.
