DHHR Staff Person:

Bureau & Office/Facility:

Legislator:

Date of Contact:

Date of Report:

Contact Received By: Letter Phone Person

Contact Topics:

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

Follow-up needed? Yes No

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 Secretary Nusbaum.  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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