Congressional State District Visit Report Form
(NOTE: Download or Print Out and complete this form, OR send this same information via e-mail)
What you learned during your visits with your Member(s) of Congress is very important to the AOTA lobbying program. Please complete this form and mail it to Darlene Dennis, AOTA, 4720 Montgomery Lane, PO Box 31220, Bethesda, MD 20824-1220, fax 301-652-7711, or e-mail FAD@aota.org.
AOTA ID #
Name of Legislator
Name of Legislative staff
Location & Approximate length of meeting/visit
Was Legislator present? ______Yes _______No
Should AOTA Federal Affairs Dept. staff do any follow-up to this meeting?
Provide additional material? If so, please specify.
Did you feel well prepared for this meeting? If not, what should have been different?