Annual Report Extention Form

HMA CHAPTER REQUEST FOR ANNUAL REPORT DEADLINE EXTENSION

ALL EXTENSION APPLICATIONS DUE BY OCT 1ST.

I, _________________________, a duly elected officer of the _________________________ Chapter of HMA do hereby request a 30– 60– 90 (circle one) day extension of the annual reports deadline of October 1st. I request this extension for the following reasons:

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Signature: ____________________________________________

Name (printed) ________________________________________

Chapter Office held: ____________________________________

(MAIL EXTENSION REQUEST TO HMA CHAIR FOR CHAP. DEV.)

ALL CHAPTER ANNUAL REPORTS ARE DUE 30, 60, OR 90 DAYS, DEPENDING ON THE EXTENSION REQUESTED, AFTER THE OCTOBER 1ST DEADLINE AS NO FURTHER EXTENSIONS SHALL BE EXTENDED. IF THE CHAPTER IS UNABLE TO MEET THE EXTENDED DEADLINE THE CHAPTER PRESIDENT OR ACTING OFFICER SHOULD CONTACT THE HMA CHAIR FOR CHAPTER DEVELOPMENT IMMEADIATELY TO DETERMINE A COURSE OF ACTION.
ALL EXTENSION APPLICATIONS SHOULD BE RECEIVED BY OCT. 1ST

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Annual Report Extension Form

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