Public Charge Stories
Please use this form so we can collect stories about how the proposed public charge rule will impact immigrant and refugee communities in Pennsylvania.

These stories will be used locally to hep in advocacy with public agencies and nationally as part of the Protecting Immigrant Families Campaign. Identifying information will only used with permission.

Please include the contact information for the person at your organization to follow up with about any questions on the story.
Email address *
Name *
Your answer
Organization *
Your answer
Phone *
Your answer
Narrative *
Please include as much detail as possible about the individual, how the proposed public charge rule(s) have impacted the person and their family, etc..
Your answer
Is this person willing to be contacted by someone from PIF campaign? *
If yes, please include their contact info below
Your answer
A copy of your responses will be emailed to the address you provided.
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