Committee Person Appointment Form

The appointment or removal of committee people requires filling out the official Allegheny County Democratic Committee Person Appointment Form. This form and supporting documents (when necessary) can be completed online or printed and mailed to the ACDC headquarters or emailed to appointments@alleghenydems.com. No changes will be made without this form, filled out in its entirety and sent to the correct address: 22 WABASH ST. SUITE 205 PITTSBURGH, PA 15220 (412) 481-5646

Appointment Designation *

Appointment Request
Resignation/Removal Request

Chair Name *

First

Last

Municipality

Committee Member to be Added/Removed *

First

Last

Ward/District or Officer Position

Attendance List and Meeting Minutes *

Click or drag a file to this area to upload.

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Phone *

Date of Birth

mm/dd/yyyy

Chair Signature

Date *

Website

Committee Person Appointment Form

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