New York 13th Congressional District Requests for Fiscal Year 2019 Appropriations
Instructions: Please answer the following questions. Pursuant to clause 9(e) of Rule XXI of the Rules of the House, earmarks will not be considered or submitted.

**Deadline for Submission is Close of Business on Tuesday, March 13, 2018**

Name of Requesting Entity *
Your answer
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Phone Number
Your answer
Appropriations Request Type *
Appropriations Subcommittee *
For Programmatic Requests, please list in the following order: Agency/Office/Title of Program
Your answer
Description of Program Request
Your answer
Please Select Program Funding Level *
Program Funding Amount (please provide specific dollar amount)
Your answer
For Language Requests, please list in the following order: Agency/Office/Title of Program
Your answer
Exact Language Request for Submission
Your answer
Justification for Language Request
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service