Record Your Contact with a Florida Legislator

Thank you for making your voice heard!

Name

First Name

Last Name

Email

City

Zip Code

Name of Legislator

Check One Please

FL House Representative

FL Senator

Type of Visit

Phone Call

Email

Zoom Meeting

Brief Personal Encounter

Scheduled In-Person Meeting

Item Discussed

Please share the purpose of the visit. If discussion centered on a particular piece of legislation, please reference the bill number.

Follow-Up

If you will be following up this visit with a future visit of any kind, please indicate that here.

Yes, I will be following up with the legislator regarding my visit.

No, follow-up is not requested/required at this time.