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2018 Legislative Contact Report

1.My Name(Required.)
2.My Email address(Required.)
3.My primary affiliation is with (check one):(Required.)
4.Additional affiliations with (check all that apply):(Required.)
5.Total number of Disability Policy Seminar participants in Hill meeting:(Required.)
6.Chamber:(Required.)
7.Member of Congress Last Name:(Required.)
8.State:(Required.)
9.Member's Interest/Involvement in disability issues:
10.Member of Congress:(Required.)
11.Congressional Staff Member(s):(Required.)
12.Staff Member(s) name(s) and title(s) (type N/A if none present):(Required.)
13.Member's positions on our issues:(Required.)
Supports our position
Does not support out position
Neutral/non-commital
Not discussed
Civil Rights and Community Living
Medicaid and Health Care
Social Security
Education
Federal Funding
14.Additional comments (any information you provide will help us in our advocacy):
If you have additional meetings to report, please complete this survey and then click on the original link to begin another one.