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Update your Contact Info!
Hello CASAs! Have you moved, changed jobs or updated your contact info in the past year? Please let us know so we can update your info in our ETO system!
*
1.
Your Name:
(Required.)
2.
Enter your home address:
Address
Address 2
City/Town
State/Province
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code
3.
Phone Numbers:
Cell Phone:
Home Phone:
4.
Personal Email Address
5.
Which county supervisorial district to you live in?
District 1 (Hilda Solis)
District 2 (Mark Ridley Thomas - outgoing)
District 3 (Sheila Kuehl)
District 4 (Janice Hahn)
District 5 (Kathryn Barger)
6.
What is your congressional district?
23
25
26
27
28
29
30
32
33
34
35
37
38
39
40
43
44
47
Other (please specify)
7.
Which Los Angeles City Council district do you live in?
I do not live in Los Angeles City
District 1 - Gil Cedillo
District 2 - Paul Krekorian
District 3 - Bob Blumenfield
District 4 - David Ryu
District 5 - Paul Koretz
District 6 - Nury Martinez
District 7 - Monica Rodriguez
District 8 - Marqueece Harris-Dawson
District 9 - Curren Price
District 10 - Herb Wesson Jr.
District 11 - Mike Bonin
District 12 - John Lee
District 13 - Mitch O-Farrell
District 14 - Kevin de Leon
District 15 - Joe Buscaino
8.
Enter your Employer Info:
Company
Address
Address 2
City/Town
State/Province
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code
Country