Local Delegate

LOCAL UNION DELEGATE CREDENTIAL

Delegate
Affiliates
Method of Delegate's Election
Signatures
Submitter Information

Form Type

Status

Draft URL

Step Id

Check Box if Delegate is the Chairsperson of Local's Delegation

Delegate's First Name:

Delegate's Last Name:

AFSCME Member ID:

Member Lookup Tool

Delegate's Home Street Address:

City:

State:

Zip:

Please check if you are a first-time delegate

Delegate's Personal Email Address:

HomePersonal Cell**

Delegate's Telephone Number:

**By providing your cell phone number you consent to receive calls (including recorded or autodialed calls, or texts) at that number from AFSCME and its affiliated labor, political and charitable organizations on any subject matter. Your carrier’s rates may apply. You may modify your preferences at www.afscme.org/tcpa.

AFPK Captured

Convention Number

ELECTRONIC CREDENTIAL(S) MUST BE RECEIVED NO LATER THAN 11:59 P.M. ET Loading…
** Print a copy of the electronic credential for each delegate and the local union’s files.