Constituent of the Month

Representative Levin launched a "Constituent of the Month" program to honor outstanding North County San Diego and South Orange County residents who have gone above and beyond to help their neighbors, give back to their community, and make the country stronger. You can nominate an individual to be recognized as a "Constituent of the Month" by filling out the form below.

Nominee Information

Prefix: *

First Name: *

Last Name: *

Street Address: *

Street Address Continued:

City: *

State: *

Zip Code: *

+4 Extension:

Email: *

Phone Number *

Phone Type:

What are these options?

Constituents who are hard of hearing or use a video phone have the option to choose TDD or VP based on the type of device they are using. This allows our office to respond to them accordingly. The default option "Voice" is a standard audible telephone.

Description of why nominee should be Constituent of the Month

Text of Message: *

Your information (for contact purposes)

Prefix: *

First Name: *

Last Name: *

Email: *

Phone Number *

Phone Type:

What are these options?

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Constituent of the Month

Office Locations

Washington, DC Office

Dana Point Office

Oceanside Office