Legislative And Executive Contact Form
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1BENCH-BAR COALITION
LEGISLATIVE & EXECUTIVE BRANCH CONTACT FORM
Your Name: _________________________________________ Court/Org:______________________________________________
Direct Phone: _______________________________________ Home Phone:____________________________________________
Instructions:
Level of Communication
1.
List the names of the legislative or executive branch
1.
Home or direct line; personal contact
official(s) to whom you are willing to serve as the liaison.
2.
Indicate the nature of your relationship with the official.
2.
Known in social circles or by staff
Have preferred access to his/her office
3.
Using the legend in the box at right, indicate the level of
communication you have with each official and length of
3.
Effective access through mutual friend/colleague
time known.
GOVERNOR’S OFFICE
NATURE OF RELATIONSHIP
CURRENT LEVEL OF
LENGTH OF
COMMUNICATION
TIME KNOWN
(e.g. law partner, classmate, social
acquaintance, political supporter, extended
Circle One
family, close mutual contacts/colleagues)
(see table above)
1
2
3
1
2
3
STATE SENATOR
NATURE OF RELATIONSHIP
CURRENT LEVEL OF
LENGTH OF
COMMUNICATION
TIME KNOWN
1
2
3
1
2
3
1
2
3
1
2
3
STATE ASSEMBLY MEMBER
NATURE OF RELATIONSHIP
CURRENT LEVEL OF
LENGTH OF
COMMUNICATION
TIME KNOWN
1
2
3
1
2
3
1
2
3
1
2
3
LEGISLATIVE STAFF
NATURE OF RELATIONSHIP
CURRENT LEVEL OF
LENGTH OF
(Committee Counsel/Consultant, Chief of
COMMUNICATION
TIME KNOWN
Staff, Legislative Director, etc.)
1
2
3
1
2
3
Do you know others in your court or organization who may be the best contact with elected officials? Please list:
1.
Name: ______________________________________________ Court/Bar: __________________________________________
Work Phone: ______________________________ Names of Officials Known: __________________________________________
2.
Name: ______________________________________________ Court/Bar: __________________________________________
Work Phone: ______________________________ Names of Officials Known: __________________________________________
PLEASE RETURN TO:
QUESTIONS? PLEASE CONTACT:
Judicial Council of California, Governmental Affairs
Laura Speed, BBC Liaison
770 L Street, Suite 1240
PHONE: (916) 323-3121 or
Sacramento, CA 95814
EMAIL: Laura.speed@jud.ca.gov
PHONE: (916) 323-3121 FAX: (916) 323-4347
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