Committee / Subcommittee Appearance Record

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Attendee Information

Registered Lobbyist

Yes

First Name

Last Name

Title

Address

Address (cont)

City

State

Zip Code

Phone Number

Email Address

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State Employee

Yes

Representing

Select Meeting to Attend

Select Agenda Item

Bill

Amendment

Bill

Proponent

Opponent

Waive In Support

Waive In Opposition

Appearing in response to an inquiry for information made by member, committee or staff

Appearing in response to subpoena

Appearing at the written request of the chair

Judge or elected officer appearing in official capacity

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FORM NOT SUBMITTED

Please fill out and submit the form. A .pdf copy of the form will be displayed to save and print. Two copies of the printed form must be submitted to the Committee Administrative Assistant at the meeting. If you are unable to submit and/or print this interactive form, you may contact the Committee to obtain a copy or fill out a paper copy at the meeting.