05.03 – GSR and Alt-GSR Change Form

Group Guidelines ENG | ESP

Group Change Form – GSR Updates

This form is designed to inform our Area & General Service Office of an existing group change of new General Service Representatives (GSRs) and their Alternates. When your group elects a new GSR or Alternate-GSR, we recommend filling out this form. They will be provided helpful AA literature at no additional cost!

General Service Representative (GSR) and Alt GSR Change Form

This form allows groups to inform the area and GSO of their General Service Representative changes.

GSO info if known

Group ID# Area (65 if on the NETA65 site)

Date

Group Name(Required)

Group

Group Meeting Format(Required)

In-Person Only

Virtual Onluy

Hybrid – both in-person and virtual

Group Address (fill out what you know is fine)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

GSR Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

New GSR Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Previous GSR Name (if not known leave blank)

First Last

Alternate GSR Name

First Last

Alt GSR Email

Enter Email Confirm Email

Alt GSR Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

This field is for validation purposes and should be left unchanged.

GSR Helpful Resources

Robert’s Rules of Order – AA Edition