Contact Form

Use this form to contact Rep. Walsh about pending legislation, current issues, or with requests for assistance.

If you would like to submit a scheduling request, please click here.

If you would like to find out more about the tours available through our Washington, DC office, please click here.

* indicates required field.

Primary Contact

Prefix: Mr. Mrs. Ms. Miss Dr. Hon. Rev. Rabbi

First Name:*

Middle Initial:

Last Name:*

Suffix:

Street Address:*

Address 2:

City:*

State:* IL

Zip Code:* +4 (Determine your ZIP+4)

E-mail Address:*

Telephone Number:

Topic:* (select one) Constituent Service Grant Requests Agriculture Budget Defense Education/Labor Energy Environment International Government Reform Health Care Homeland Security Immigration Judiciary Social Issues Social Security Telecommunications Taxes and Trade Transportation Veterans Welfare

Message:*

Would you like a Response:* (select one) I do not need a response. I would like a response.