Committee person removal form

For committee chairs. Fill in the form, download a copy to review, then submit it with supporting documents when online submission is available.

Open the original fillable PDF

Complete the fields below to prepare the original PDF. All fields are required unless marked optional. Your entries stay in this browser until you choose Submit; they are not saved if you leave this page.

Municipality

Name of person to be removed

Ward (enter N/A if not applicable)

District

Seat (male/female)

Committee position, if applicable (optional)

Person is being removed fromCommitteeOfficer Position

Reason for removal

Committee chair signature (typed)

Typing a name fills the signature line. It does not verify the signer. The county office may request a signed copy.

Committee chair name

Date

Resignation letter from member attached (optional)Other supporting document attached (optional)

Supporting documents (optional)

Attach a resignation letter when the member is resigning. Otherwise attach any supporting documents available. PDF, PNG, or JPEG; up to 3 files, 1 MB each, 2 MB total. Attachments are included in the email when you submit, not in your PDF download.

I am authorized to submit this committee chair request and consent to emailing the form and supporting documents to the county office for review.

Your submission will be emailed to the county office for review. No committee change is made automatically.