Visit Report Form

Please complete this visit report form for each congressional visit you complete as soon as possible after the visit. This allows us to stay current about which members of Congress have received information and which have not, as well as what members of Congress have told you, their constituents. Thank you for your vital work!

Basic Information

Name of Member of Congress

State:
Congressional District:
Date of Visit:
Length of Visit:
Location of Visit:

Information on Legislator/Staff

Did you meet with the member of Congress or staff?

Name of staff member:

Title:
Name of staff member:

Title:
Name of staff member:

Title:
Name of staff member:

Title:

Information on Your Team

Name of team member:

E-mail:
Name of team member:

E-mail:
Name of team member:

E-mail:
Name of team member:

E-mail:

About the Visit

Will the member of Congress vote for ENDA?

Will the member of Congress co-sponsor ENDA?



What questions did the member of Congress/staff ask?
Did the member of Congress/staff express any reservations about ENDA?
Did the member of Congress ask for any additional information?

Next steps

What would you suggest as next steps with this member of Congress?
Any additional comments?


 

 

 

 

 

 

 

 

 

 

© 2009 National Center for Transgender Equality
1325 Massachusetts Avenue NW, Suite 700 ▪ Washington, DC 20005 ▪ (202) 903-0112 phone
e-mail the webmanager

Contact us ▪ Issues ▪ Take Action ▪ Resources ▪ News ▪ About NCTE ▪ Join