Redistricting Comments Form

2. Instructions

   If you wish to submit your comments about the Redistricting, please complete the form below and click on “Submit.”

4. First Name*
5. Last Name*
7. Address*
9. City*
10. State*
11. Zip Code*
13. Phone Number*
14. Email Address*
16. Comment*
Leave This Blank:


18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field