Dissent by Director

Use this free template to prepare a Dissent Form for a director of a corporation who wishes to formally dissent to a resolution before the Board of Directors, and to have the dissent entered into the corporate records.

Download the Dissent Form in MS Word format, or copy and paste the text below.

DISSENT BY DIRECTOR

TO: ______________________________________ (name of corporation)

FROM: ____________________________________ (name of director)

The undersigned, being a director of the Corporation, hereby dissents to the resolution of the directors of the Corporation relating to: (give details)


and hereby requests that an executed copy of this dissent be placed in the Minute Book of the Corporation together with the minutes of the meeting of the Board of Directors of the Corporation held on the _____ day of ______________, 20_____.

DATED this _____ day of ______________, 20_____.


___________________________________
(signature of director)