2023 Chapter Report Form
Please send completed Chapter Report Forms to ORTA by February 1, 2024.
Print a copy of this form. Complete the form by hand and send it to ORTA.
You can scan, or take a photo of, your completed form and send it to ORTA via email using this address: email@example.com.
If you are submitting a deceased member report, scroll to the lower portion of this page to complete and submit that form electronically.