Representative Information Form Please enable JavaScript in your browser to complete this form.Term of OfficeFrom *To *Contact InformationFull Name *Union Position Held *Local Number *Region *PSAC ID *Telephone (Home)Telephone (Work)CellphonePersonal/Union Email *Home AddressCityProvincePostal CodeContact information changed because:Elected to the position ofChoose belowPresidentVice-President1st Vice-President2nd Vice-PresidentSecretaryTreasurerSecretary TreasurerChief Shop StewardShop StewardGrievance CoordinatorReplacingChanged position toChoose belowPresidentVice-President1st Vice-President2nd Vice-PresidentSecretaryTreasurerSecretary TreasurerChief Shop StewardShop StewardGrievance CoordinatorChanged NameChanged PhoneChanged EmailChanged AddressResignation DateSubmit