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WECC Committee Member Designation Form

Submitted By

Name

First Name:

Last Name:

Organization

WECC Member Organization:

Is this a replacement to a previous Committee Member?

Yes

No

Previous Committee Member

Previous Committee Member:

First Name

Last Name

Email Address

Is this person still with the organization?

Yes

No

Should this person be removed from related committee distribution lists?

Yes

No

New Committee Member

New Committee Member

Is the new committee member going to be a part of the Reliability Assessment Committee (RAC)?

Yes

No

Is this person going to be a member or an alternate?

Member

Alternate

What committee will the new member be a part of?

New Committee Member:

First Name

Last Name

Telephone:

Email Address:

Leave this field blank

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