RCM Reports – GPRNA Reports

Are you an RCM, Alt-RCM, or an individual authorized to submit on behalf of an RCM? *YesNoThis form is for RCM Reports only. Another form exists for all other reports.

If you are not submitting an RCM form, would you like to be contacted?

Email Address (not RCM) *

Phone (not RCM)

First Name *

Last Initial *0 / 3

Email Address *

Phone *

RSC Date *

This is the date you will deliver the report at the RSC Meeting, not necessarily today’s date.

Select your Area *

Identify the Area that is missing from the list. *

Identify your role. *RCMAlt-RCMSubstitute / SurrogateOther Addict

Has your Area made a financial contribution to Region in the last two months? *NoYes

Total Contribution *Enter the total contribution, in dollars, your Area made over the past two months.

Will you be submitting a proposal to be voted on at the RSC Meeting? *NoYes

Proposal Form:

You need to complete and submit a proposal form:
GPRNA PROPOSAL FORMS

Proposal Upload *

This is for proposal forms only, not your report. Complete one or more of the forms linked above. You can upload an electronic copy or a photo. You are limited to three submission here. If you need to submit more, email them to reports@naworks.org

Do you have any fliers for upcoming events? *NoYes

Upload Fliers *

This is for fliers only, not your report. The limit is six. If you need to submit more, email reports@naworks.org

Your event WILL NOT be posted to the GPRNA Events Calendar automatically. We recommend completing the online form at the address found below so that addicts are aware of your event. We will email you a link to the online form. *Acknowledged.https://naworks.org/gprna-events/

Other Items You Might Report

You may report “All is well,” or you can provide additional information such as:

Number of groups in your Area
Group attendance at Area
Area needs
Upcoming events
New Area officers and contact information
Etc.

Remember: All reported information will be visible on a public website.

What would you like to report? *“All is well.”I would like to report additional information.Be sure to report any funds requested and the justification for those requests.

How would you like to submit your report? *Type into a fieldUpload a reportBe mindful that any information included in your report will immediately become public. We recommend leaving personal emails and phone numbers out of your report.

Enter your report.

Upload your report.

You are limited to three files. If you need to upload more, submit them to reports@naworks.org

Would you like physical copies of this report to be printed for distribution at the RSC Meeting? *NoYesIf you select “Yes,” our Special Work- Admin will receive an automated email asking that the report be printed.

Optional Private Notes to the SecretaryThe secretary will see this information but it will not be displayed in the report preview or in the minutes.