Request to change an ECO constituent or alternate

An ECO stakeholder submits this form to change their assigned constituent or alternate. 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
Name of the member representative who has met the attendance requirement and will replace the currently named ECO constituent
Email of the person entered above
Dates of the qualifying meeting attendance
Name of the member representative who will replace the currently named ECO constituent alternate.
Email of the person entered above

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