Advocacy Tracking form

Advocacy Tracking form

Please use this form to keep us posted on the status of your outreach to legislators. We'll use the information to track our advocacy progress across the state.
Legislator*
Other legislator (please specify)*
Status update*

Emailed legislator to schedule meetingMeeting scheduledAlready met with legislatorI need help
Meeting scheduled: Please use this form instead https://form.jotform.com/253008716232046
Already met with legislator: Please use this form to let us know how it went: https://form.jotform.com/253166897890172
Need help? Please email GACCommunications@ksrx.org and we'll respond within 24-48 hours.
If needed, please provide any additional information
Your name*

First NameLast Name
Cell phone number*
Please enter a valid phone number.
Email*
example@example.com
Should be Empty:

Meeting scheduled: Please use this form instead https://form.jotform.com/253008716232046