Section title: Forms

X12 Board of Directors Application

X12 Board elections are scheduled for December 2023. X12 members will elect two directors to serve on the X12 Board for the 2024-2026 term. One seat must be filled by a member representative of an X12 member and the other seat is unrestricted, meaning it does not have to be filled by an X12 member representative.

Applications are being accepted now through 11:59 pm ET on December 03, 2023. Individuals may register their interest in serving on the X12 Board by submitting the form below.

An asterisk indicates a required field.

One file only.
100 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.