Office of Communications


West Virginia Department of Health and Human Resources

2008 LEGISLATIVE CONTACT FORM

(Please type in your information and use the Tab key to go to the next space.)

DHHR Staff Person:

Bureau & Office/Facility:

Legislator:

Date of Contact:

Date of Report:

Contact Received By:

Contact Topics:

Briefly summarize the contact. (What was said and who said it?  Include any other relevant information.)

Follow-up needed?

What?

Submit completed forms online within one business day to the Office of Communications and Legislative Affairs.  Ensure your legislative coordinator also gets a copy.  Make preliminary telephone reports of "hot" issues by telephone and follow-up with a written report.  Copies of any written information to be shared with legislators must be approved by the DHHR Secretary.  Submit a copy with this report, by e-mail to jpayne@wvdhhr.org or send to:

Office of Communications and Legislative Affairs
Capitol Complex - Building 3, Room 206
Charleston, WV 25305
Phone: (304)558-7899 Fax: (304)558-7075

    

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Revised: 01/07/08