Lobbying Activity Disclosure Form
Please complete the following fields to disclose details of lobbying-related activity. All information should be accurate and relevant to the lobbying event.
Name of Individual or Organization
*
Contact Email
*
example@example.com
Date of Lobbying Activity
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Entity or Official Lobbied
*
Subject Matter / Issue
*
Type of Lobbying
*
Direct
Indirect
Grassroots
Other
Methods Used
*
In-person meeting
Written communication
Phone call
Event attendance
Other
Brief Description of Lobbying Activity
*
Location of Activity (City/State or Online)
Was compensation received for this activity?
*
Yes
No
Submit Disclosure
Should be Empty: