Request to change a CMG constituent or alternate

A Code Maintenance Group (CMG) stakeholder submits this form to change their assigned constituent or alternate. For X12 members, the form must be completed by the X12 member's primary representative. For non-members, the form must be completed by the current CMG constituent. For more information, see External Code List (CAP12).

Fields Marked with a * are required
*Primary Representative's or Non-member Constituent's Name
*Email of the person entered above
Member Name (if applicable)
*CMG the request is for
Name of the individual who has met the attendance requirement and will replace the currently named constituent.
Email of the person entered above
Dates of the qualifying meeting attendance
Name of the individual who will replace the currently named alternate
Email of the person entered above

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