Legislative Contact Report

Thank you for taking the time to complete this Legislative contact report! By documenting your lobby visit to a Member of Congress or their staff, Oxfam is able to ensure that your efforts are translated into action. The information you provide in this report enables us to follow up with Members of Congress, to adjust strategy as needed, and to ensure that your efforts result in real change. Thank you!

This reporting form is intended for use by Oxfam allies, Oxfam Action Corps, CHANGE Leaders and others lobbying Members of Congress on Oxfam’s key issues. Please complete as much information as possible before submitting the form. You will not be able to edit the form once you have submitted it. Please contact Lisa Hilt, lhilt@oxfamamerica.org or 617-728-2401 if you have questions about this form.

Contact Information

Your first name*

Your last name*

Your phone*

Your email*

Your Affiliation with Oxfam*

Ally

Oxfam Action Corps

CHANGE

Other

Participants

Please list the names of the legislator, congressional staff members and Oxfam staff who were present during the lobby visit.
If a participant’s name does not appear in the drop-down list, please include the name(s) in the description of your lobby delegation below.

Congressperson(s)

Congressional Staff