The Peace Alliance

I Called!
Please Use this form to report your phone calls to members of Congress

Please use this form to report on meetings - as opposed to phone calls.

  • Information with asterisks (*) is required. You cannot complete submission if they aren't filled in.

Today's Date:       * Call Date:  

* Your State:   

* Your email address:
Your First Name:      Last Name:
Your call
* Officeholder's Name  First Name:   Last Name:
(First and last name of the Congressperson or Senator holding the office you called)
* Congressional District:
(Ex: SD-ALL, OH-10, CA-05, CA-Sen, SD-Sen - Don't forget the state abbreviation)
Who did you speak with?

Select One:  Actual Congressional Member   Congressional Staff

If you spoke with staff members, please list their full names and positions, if known:

Follow Up

What follow-up will you be making as a result of this call? What are your next action steps?

Comments about this call:

Double check your entries and then hit SUBMIT!
After you submit you will have a chance to come back and complete another report for another call or quit.