eForms

:: Group Change of Status Form

This form can be used to report Group information changes. Only incoming or outgoing Listed Leaders may make these changes.

Leaders CAN NOT make GROUP changes through LLLI. This will be done for you.

Listed Leader: (Your name)
Your CURRENT email: (A copy of this information will be sent to this email address)

Effective Date of Change:
Your District Advisor (DA): (Your DA will be emailed a copy of this information)

What changes are you making?
	Change Listed Leader Establish New Group Change Group Name Close Group

Provide as much of the old and new information as possible.

NEW INFORMATION		OLD INFORMATION
Group Name		Group Name

Listed Leader		Listed Leader
Address		Address
City		City
County		County
State		State
Zip		Zip
Phone		Phone
Email		Email

Comments

	This report will be emailed automatically to Ellen Simpson (Area Secretary) and your District Advisor when you click "SUBMIT" on the preview page. Click on "PREVIEW REPORT" to continue to the next page.
			Need to start over?

After you click on "SUBMIT" at the bottom of the NEXT page, you should receive an automated email reply with a summary of the above information.

Click for Web site contact information. Feedback welcome. Last modified 07/03/2008.
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