Role Change Request

This form is used by Legislative District Chairs and Precinct Chairs to submit change requests for delegate and precinct leadership roles.

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Your Information – Step 1 of 2

Your Information

This section is used to verify that your submitted change can be implemented according to DCRP Bylaws. If you are not a Legislative District Chair or Precinct Chair on record with the DCRP your submission will be discarded.

What is Your Role?

Legislative District Chair
Precinct Chair

What is your name?

First

Last

What is your Email?

If you supply an address you will receive a confirmation email.

Role Change Information

This section is for the information that needs to be updated.

What Role would you like to update?

Precinct Number

Reason for Change

Layout

Name of the Original Elected Individual

First

Last

Email of the Original Elected Individual

Name of the New Replacement

First

Last

Email for the New Replacement

Phone for the New Replacement

Address for the New Replacement

Address Line 1

Address Line 2

City

State

Zip Code