Sample Online Appropriations Request Form

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SAMPLE ONLINE Appropriations Request Form
Note: Fields marked with an * are required.
Through my service on the Appropriations Committee, I have a unique opportunity to advocate for
funding that can create jobs, support scientific research, and improve the lives of families in our district.
In order to be sure that I’m hearing from my constituents, I’ve set up this site to solicit appropriations
requests. Please take the time to let me know more about your appropriations request, and how my
office can be helpful to you.
The rules of the House of Representatives prohibits Representatives from requesting earmarks.
Congressional earmarks are defined in House Rule XXI:
“[T]he term “congressional earmark” means a provision or report language included primarily at the
request of a Member, Delegate, Resident Commissioner, or Senator providing, authorizing or
recommend a specific amount of discretionary budget authority, credit authority, or other spending
authority for a contract, loan, loan guarantee, grant, loan authority, or other expenditure with or to an
entity, or targeted to a specific State, locality or Congressional district, other than through a statutory or
administrative formula-driven or competitive award process.”
By checking this box you acknowledge that you understand the ban on congressionally directed
spending items, or earmarks.
Contact Information
Check this box if your organization is located or operates primarily in Massachusetts.
Prefix
First Name *
Last Name *
E-mail *
Phone Number *
Alternate Phone Number
Organization Information
Organization Name *

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