Legislative Proposal Request Form

Constituent Information
Name
Address
Legislative Proposal / Bill Idea
What is the problem or deficiency in existing law? Why is it a problem? Who is being affected or impacted by this issue?
How would this solution address the problem? Attach draft language of proposed law or change in existing law, if available. Please be as detailed as possible.
Has this proposal or similar legislation been introduced before? Any similar legislation in other states or at the federal level? Please include bill number, author, legislative year and outcome of the legislation.
Please include any studies, reports, statistics, facts, newspaper articles, personal experience, or anecdotal evidence relating your proposal. Be specific.
Please describe any state costs, savings, or generated revenue by your legislative proposal.
Please include associations, advocacy groups, interest groups, and state agencies and departments.
Who in the district will be impacted by your legislative proposal? Have you checked with them?
(If necessary)