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 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 Sherri.E.Elsheikh@wv.gov or send
to:
Office of Legislative Affairs
One Davis Square, Suite 100 East
Charleston, WV 25301
Phone: (304)558-2073
Fax: (304)558-7075
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