Legislative Visit Form

One aspect of being a Key Contact is to report on meetings with your state or federal legislators. This information is invaluable to PAR's Public Policy and Political Affairs staff and helps in PAR lobbying efforts. After meeting with a state or federal legislator, please fill out the following form (one per legislator).

Required fields are indicated with ( * )

First Name* : 
Last Name* : 
Address* : 
Suite : 
City* : 
State* : 
Zip Code* : 
Phone* : 
Email* : 
Legislator First Name* : 
Legislator Last Name* : 
Date of Meeting (mm/dd/yy)* : 
 
What type of meeting did you have?* : 
Names of Meeting Attendees* : 
Issues Discussed* : 
Concerns Raised* : 
Is a follow-up necessary?* : 
If follow-up is necessary, please specifiy issues : 

Upcoming Events

May 22, 2012
Date: May 22, 2012 Time: 8:30 am - 12:00 pm
Date: May 22, 2012 Time: 1:30 pm - 5:00 pm