District Officers Report Form

Pursuant to the action of the 13th Annual National Convention of The American Legion at Detroit, Michigan, September 24, 1931, I have examined the service record of each of the following officials who have been duly elected to serve in this District.

TO COMPLY WITH NATIONAL AND UPDATE THE DEPARTMENT FILE, THE DATA FOR EACH PERSON IS REQUIRED!

District Number: *

District Per Capita Amount: *

This is the price per member the Posts in your District pay to the District.

Meeting Day/Time *

When an email is sent to yourdistrict#@azlegion.org, please list up to three emails that will receive the message.

Please remember this is only a delivery method. When you reply to the message you will be doing so from the email address you list below. Example address will be; district1@azlegion.org, district11@azlegion.org, etc.

Use the Add/Remove button below to add up to three people to your District distro list.

District Distro Recipient

Email Owner's Name *

First

Last

Email Delivery Address *

Email Owner's Position in District

This section begins your report of officers and their data.

Each District is unique and positions vary. Please choose the appropriate Officers that fit the layout of your District.

Reminder, the Adjutant is the only required officer on this form since he/she is the one certifying each officer. Only input what you need for the current year. If later in the year there is an officer change, please submit both the Adjutant, and new officer’s information.

Adjutant *

First

Middle

Last

Adjutant's Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Adjutant's Membership Number *

Adjutant's Phone *

Adjutant's Email *

Adjutant's Serial Number *

Adjutant's Date of Enlistment *

Adjutant's Date of Separation *

Adjutant's Rank at Discharge *

Adjutant's Organization at Discharge *

Using the buttons under each Officer’s record, please add or remove as many Officer fields as you need.

If you require a position not in the drop down, please choose other/not listed and you will be asked to enter the name of the officer/position.

Officer Record

Dropdown

Name of Other/Not Listed Position

*if applicable*

Email

Confirm Email

Name

First

Middle

Last

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Membership Number

Date of Enlistment

Date of Discharge

Organization at Discharge

Rank at Discharge

Serial Number

I hereby certify that each of the above officials is eligible for membership in The American Legion and has the consequent right to serve in an official capacity.

Date of Submission *

District Adjutant/Certifying Official's Signature *

Clear Signature

Pursuant to the action of the 13th Annual National Convention of The American Legion at Detroit, Michigan, September 24, 1931, I have examined the service record of each of the following officials who have been duly elected to serve in this District.

When an email is sent to yourdistrict#@azlegion.org, please list up to three emails that will receive the message.

District Distro Recipient

This section begins your report of officers and their data.

Using the buttons under each Officer’s record, please add or remove as many Officer fields as you need.

Officer Record

I hereby certify that each of the above officials is eligible for membership in The American Legion and has the consequent right to serve in an official capacity.

If you decide to use the save and resume feature, please insure you follow all steps to avoid losing data.

UPON SUBMITTING THIS FORM A COPY WILL BE DELIVERED BY EMAIL TO THE ADJUTANT EMAIL ADDRESS YOU PROVIDED IN THIS FORM.

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