AFGE Lobbying Reporting Form 118th Congress
Let us know how your lobbying and relationship building is going. Use this form to report after every meeting with your local lawmaker.

IMPORTANT: This information should not be downloaded using government equipment, read during duty time or sent to others using government equipment, because it suggests action to be taken in support of or against legislation. Do not use your government email address or government phone in contacting your Member of Congress.  
Sign in to Google to save your progress. Learn more
Contact Information
First Name: *
Last Name: *
Council (ex: VA, SSA, DoD): *
Local (Use L#### format): *
AFGE District (ex: D12): *
Congressional District (ex: CO-07): *
NON-GOVERNMENTAL email address: *
Cell Phone Number:
Reporting your Meeting with your Lawmaker
Have you met or spoken (in-person or over the phone) with any Congressional Representatives, Senators, or MOCs' staff members who represent members of your local in the last six months?
 *
List MOC's name:

Please only list the member of Congress' name. EX: Rep. Norton
 *
What is MOC's Congressional District?

Ex: FL-01. If a senator, just put the state.
 *
When did you speak or meet with your MOC and/or their staff:
 *
MM
/
DD
/
YYYY
Where was the meeting held?

If a staff member, list the MOC who the staff represents
 *
Please describe the issues you speak about at the meeting:
 *
Did you discuss any of the following topics?
 *
Required
On a scale from 1-10, how receptive was your MOC or staff member to supporting any of the above issues:
Not Receptive, Hostile
Very Receptive, Friendly
Clear selection
Which issues specifically did your MOC or staff member support?
Which issues specifically did your MOC or staff member seem hostile or unsupportive of?
On a scale from 1-10, how receptive was your MOC or staff member to supporting your agency's issue(s):
Not Receptive, Hostile
Very Receptive, Friendly
Clear selection
Please list any other details from your meeting that you would like to share with AFGE.
When will your next meeting with your MOC or his/her staff be?
Submit
Clear form
Never submit passwords through Google Forms.
GoogleForms
This content is neither created nor endorsed by Google.