Request for ECO stakeholder status

Submit this form to register an X12 member's interest in being recognized as a stakeholder of the External Code List Oversite subcommittee with a commitment to active participation. For more information, see External Code List (CAP12). The form must be completed by the X12 member's primary representative.

Fields Marked with a * are required
*Member Name
*Primary Representative Name
*Primary Representative Email
*A description of the member's material interest in the External Code List Oversite (ECO) activities
*Name of the member representative who has met the attendance requirement and will serve as the member's ECO constituent
*Email of the person entered above
*Dates of the qualifying meeting attendance
Name of the member representative who shall be recognized as the member's ECO alternate (if an alternate is desired)
Email of the person entered above

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