"Committee on Mental Health and the Justice System Proxy Designation Form" - Arizona

Committee on Mental Health and the Justice System Proxy Designation Form is a legal document that was released by the Arizona Judicial Branch - a government authority operating within Arizona.

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Proxy Designation Form and Instructions
Committee members are responsible for briefing their proxy so that the proxy is
prepared to conduct Committee business.
A proxy must similarly communicate with the member after a meeting to inform the
member of substantive events that occurred at the meeting.
A member wishing to appoint a proxy should complete this form and transmit it to
Subcommittee staff indicated below at least one day prior to the scheduled
Subcommittee meeting. A member who sends a proxy to more than one meeting
must use a separate proxy form for each meeting.
Proxy designations should be sent to:
Diana Tovar, Court Specialist
Administrative Office of the Courts
Phone number: (602) 452-3449
E-mail: dtovar@courts.az.gov
______________________________________________________________________
I, (please print your name) ________________________________________________,
will be absent from the meeting of the Committee on Mental Health and the Justice
System scheduled for the _____ day of _________________, 202___. Accordingly, I
designate the following individual to act as my proxy for this meeting:
Name:
___________________________________________________
Employer/Title:
___________________________________________________
E-mail:
___________________________________________________
Phone:
____________________________________________________
Member’s Signature
Date
Proxy Designation Form and Instructions
Committee members are responsible for briefing their proxy so that the proxy is
prepared to conduct Committee business.
A proxy must similarly communicate with the member after a meeting to inform the
member of substantive events that occurred at the meeting.
A member wishing to appoint a proxy should complete this form and transmit it to
Subcommittee staff indicated below at least one day prior to the scheduled
Subcommittee meeting. A member who sends a proxy to more than one meeting
must use a separate proxy form for each meeting.
Proxy designations should be sent to:
Diana Tovar, Court Specialist
Administrative Office of the Courts
Phone number: (602) 452-3449
E-mail: dtovar@courts.az.gov
______________________________________________________________________
I, (please print your name) ________________________________________________,
will be absent from the meeting of the Committee on Mental Health and the Justice
System scheduled for the _____ day of _________________, 202___. Accordingly, I
designate the following individual to act as my proxy for this meeting:
Name:
___________________________________________________
Employer/Title:
___________________________________________________
E-mail:
___________________________________________________
Phone:
____________________________________________________
Member’s Signature
Date