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Legislative Contact Report Form
Legislative Contact Report Form
Legislative Contact Report Form
First Name
*
Last Name
*
Your Email
*
Date of visit with legislator
Name of Legislator or Staff Member You Met with
*
Title of Person You Met With
*
State Representative
State Senator
Congressional Representative (US House of Representatives or US Senator)
Staff Member of Legislative Representative
Title of Person You Met With (Other)
Name & Title of Staff Member(s) / Other Person(s) You Met With
Email for Person(s) You Met WIth
District #
Party Affiliation
*
Democrat
Republican
Don't Know
Party Affiliation (Other)
Is the legislator a member of a credit union?
*
Yes
Yes
Don't Know
What legislative/regulatory issues or other topics did you discuss?
*
Was the legislator's position in line with credit unions?
*
Yes
No
Unsure
Does the legislator support preserving the existing tax-exempt status of credit unions?
*
Yes
No
Unsure
Did not discuss
Is the legislator familiar with the fact credit unions are structured as not-for-profit, member-owned financial cooperatives?
*
Yes
Yes
Unsure
Did not discuss
Recognizing the legislator would need to review the specific provisions of any proposed legislation, would they support legislative initiatives that enable credit unions to compete in the financial services marketplace?
*
Yes
Yes
Unsure
Did not discuss
Rate the legislator's general support of credit unions
*
1 - lowest
2
3
4
5 - highest
Rate your overall impression of the visit
*
1 - lowest
2
3
4
5 - highest
Did the legislator and/or staff ask any questions or make any comments you could not answer and/or do they need follow-up information?
*
Yes
No
Comments
File Upload - Share pictures, PDFs, etc. from your visit
Advocacy
Current Issues
Grass Roots
Community Development
CUPAC
Compliance
Tools & Resources
Talk Compliance
Community Reinvestment Act
Member Resources
Training & Events
Peer Communities
DEI Advancement
Chapters
Regional Management
CU Awards
Small CU Resource Center
ICU Foundation
Engagement Opportunities
League Communication Preferences
News
Submit Your Story
ICUL News
Industry News
People on the Move
HerMoney Blog
TruStage™ News You Can Use
About
Board of Directors
Our Team
Envisant
ICUS Partners
ICUL Event Policies
Careers
Contact Main Office
1807 W. Diehl Road
Naperville, IL 60563
Toll Free: 800.942.7124
Local: 630.983.3400
Springfield Legislative Office
225 S College Suite 200
Springfield, IL 62704
Local: 217.744.1800
217.744.2577
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