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Legislative Office Visit Follow-Up Report Form

First Name:  
Last Name:  
E-Mail:  
Phone:  
Date:  
Other Participants:  
Governmental Unit: Illinois House
Illinois Senate
U.S. House
U.S Senate
Illinois Government Department
Federal Government Department
Name of Member of Congress:  
Name of person(s) met with
(legislator or staff):
 
Principal Staff Member
on the issue:
 

With whom did you meet?
Member of Congress
Staff

Was the congressional member/staff aware of IPRA/IAPD/NRPA?
IPRA
IAPD
NRPA


What issues did you discuss?


What is the position of the member of Congress on each issue? 
Issue 1: Issue 2:
Supports IPRA's Position
Leaning toward IPRA's Position
Position unknown/undecided
Leaning against IPRA's Position
Against IPRA's Position
Supports IPRA's Position
Leaning toward IPRA's Position
Position unknown/undecided
Leaning against IPRA's Position
Against IPRA's Position


What are your legislator's main concerns on this issue?



What does your legislator hear from constituents on this issue?


Follow-up needed from IPRA staff:
Call from lobbyist committee members
Generate phone calls/letters from constituents
Additional Materials
Other

Please rate the usefulness of this experience:
Not at all useful
Somewhat useful
Useful
Very useful
Extremely useful


Comments for IPRA Staff:




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