Image The deadline for submissions is Friday March 6, at 6:00 PM (EST). Indicates required field Your Contact Information Prefix: - Select -Ms.Miss.Mrs.Mr.Mr. and Mrs.Mx.Rev.Dr.The HonorableRabbi First Name: MI: Last Name: Suffix: - None -2nd3rd4thIIIIIIVJr.Sr.M.D.PH.D.and Family Address Address Address 2 City/Town State - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP Code Email: Contact Phone Number: Phone Type: - None -Standard voice telephoneVideophone [VP]Text-telephone device [TTD] Phone Number Alternate Phone Number phone text What are these options? Constituents who are hard of hearing or use a video phone have the option to choose TDD or VP based on the type of device they are using. This allows our office to respond to them accordingly. The default option 'Voice' is a standard audible telephone. Organization Information Organization Name: Organization Head First Name: Organization Head Last Name: Organization Address Organization Street Address Street Address Continued City State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Appropriation Request Choose a Subcommittee: - Select -AgricultureCommerce, Justice, ScienceDefenseEnergy and WaterFinancial ServicesHomeland SecurityInteriorLabor, Health and Human ServicesLegislative BranchMilitary Construction, Veterans AffairsState and Foreign OperationsTransportation, and Housing and Urban Development Request Type: - Select -Funding RequestBill LanguageReport Language Program or Language Title: (for Defense requests, include PE number) General Information How does this request benefit the district? Describe the problem or issue to be addressed through this request: Describe the project or program, what it will do and why it is necessary: Please include all such partners with whom you will be working or from whom you have requested additional funding for your program or project: Funding Information Requested Funding Action: - None -Support Total Funding Level ofSupport the Enacted LevelSupport the President's FY27 Budget Request FY27 Funding Request: FY27 President’s budget amount: Provide requested language and indicate whether it is bill language, report language or both: Provide previously enacted funding levels below, and list all dollar amounts in thousands (i.e. $1,500, not $1.5 million). 2026 2026 PBR 2026 HAC 2026 SAC: Approps Conf: 2025 2025 PBR 2025 HAC 2025 SAC: Approps Conf: 2024 2024 PBR 2024 HAC 2024 SAC: Approps Conf: 2023 2023 PBR 2023 HAC 2023 SAC: Approps Conf: Provide a brief explanation justifying the request and how it is a good use of taxpayer funds: CAPTCHA: enabled to secure this form. If you are having difficulty using Captcha's visual option, please visit the Accessibility page for more assistance.
