Request a Meeting or Appearance in Washington DC

Complete and submit this form to request Congressman Kildee's appearance at a meeting, speaking function, or a non-speaking function.

* marks required fields of data.

Activity Details

Type of Request: *

Organization: *

Date Requested: *

Year

Month

Day

Time Requested: *

Hour

Minute

Number of Attendees: *

Names and Titles of Attendees: *

Topic: *

Details: *

Your Information

Prefix: *

First Name: *

MI:

Last Name: *

Suffix:

Your Title:

Organization’s Website:

Street Address: *

Street Address Continued:

City: *

State: *

Zip Code: *

Email: *

Telephone

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.

Meeting requests are processed in order of proximity to the date of the requested meeting. Due to the unpredictable nature of the legislative calendar, meetings are scheduled one week prior to the date requested.

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Request a Meeting or Appearance in Washington DC

Washington, DC Office

Flint Office