Complete and submit this form to request Congressman Higgins's appearance at a meeting, speaking function, or a non-speaking function. Due to the Member's schedule, not all requests can be filled.Current Page 1 Complete Indicates required field Your InformationPrefix:- Select -Ms.Miss.Mrs.Mr.Mr. and Mrs.Rev.Dr.The HonorableRabbiFirst Name: MI: Last Name: Suffix:- None -2nd3rd4thIIIIIIVJr.Sr.M.D.PH.D.and FamilyOrganization:Your Contact InformationEmail:TelephonePhone NumberPhone Type:- None -Standard voice telephoneVideophone [VP]Text-telephone device [TTD]phone textWhat 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.AddressAddressAddress 2CityState- Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingZIP CodeActivity DetailsType of Meeting:- Select -MeetingVirtual MeetingSpeaking EngagementAttend Event OnlyLocation of Event:- Select -In Washington, DCIn DistrictOtherList of AttendeesDate and Time of Meeting Request:Topics of Discussion:Additional Information:Media ParticipationYesNo