Resignation Acknowledgement Form

Click here to return to the Lodge VO Page

This form should be used by a Lodge Visiting Office after receiving resignation statement from the Provincial Website (submitted by the Lodges Secretary).

Visiting Officer Details:

VO Name:*
VO E-mail Address:*
VO for Lodge Name:*
VO for Lodge Number:*

I have received notification of the resignation of Bro:

Full Name:*
Resignation Date:*

Rule 183

The implementation of Rule 183 (60 day) has been discussed with the lodge WM, Secretary and Membership Officer :*
The following action has been agreed:*