Request a Letter of Support Request

This form is designed to assist you in obtaining a letter of support from Assemblymember Dr. Darshanna Patel.

To request a letter of recommendation, please complete the form below. We recommend giving at least two weeks notice before the letter is due to provide us with ample time to complete the letter. You can also upload any material you want to include for reference.

Contact Information

First Name

Last Name

Organization

Phone

Street Address

City

State

ZIP

Addressee Information

Instructions: For this section include the contact information for the organization/ department you would like us to address the letter to.

Title

First Name

Last Name

Organization

Phone

Address

City

State

ZIP

Letter Details

Instructions: Please provide a draft support letter and any supporting documents. All requests for letters of support will be reviewed by the Assemblymember’s office and are subject to approval. Approved drafts will be edited accordingly.

Due Date

Letter Destination

Send to addressee

Return to me

Letter Draft

One file only.
200 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.