DAV Department of South Carolina District Committeeman Report (Problem at Chapter)
District Number: Select Dist. No.	District Committeeman Name: Input Name
Date: Select date	Chapter Number: Select Chapter No.	Chapter Name: Select Chapter Name
District Committeeman, how where you contacted and made aware of the issue at the chapter? Input Information
Describe the issue at the Chapter: Input Issues
What steps has the Chapter taken to resolve the issue? Input Steps
As District Committeeman, what have you done to assit with resolving the issue? Input Assistance
Did the Department become involved in helpig resolve the issue?	Select Yes or No
If Yes, explain. Input Explanation
Additional space (if needed): Use as Needed
Date Issue resolved: Select date
Recommendation to Chapter: Input Recommendation
Were you required to attend chapter meeting?	Select Yes or No
If yes, please list date you attended meeting:	Select date
If a follow-up meeting required?	Select Yes or No
If yes please list date you attended meeting:	Select date
District Committeeman’s Signature	Date: Select date