State Lobbying Reporting Form
Name:    Department:    Phone:    Email:				Reporting Period Select a Reporting Period January - February March - April May - June July - August September - October November - December Year
					If applicable
Date of Contact	Name/Agency Contacted	Length of Contact (Express time spent in 15 minute intervals)	Type of Contact	Bill #/Subject	Travel Expenses	Administrative Expenses (printing, phone, etc.)
			Select Type of Contact Verbal (in Person or Phone) Written/Electronic Presenter at Governmental Meeting
			Select Type of Contact Verbal (in Person or Phone) Written/Electronic Presenter at Governmental Meeting
			Select Type of Contact Verbal (in Person or Phone) Written/Electronic Presenter at Governmental Meeting
			Select Type of Contact Verbal (in Person or Phone) Written/Electronic Presenter at Governmental Meeting
			Select Type of Contact Verbal (in Person or Phone) Written/Electronic Presenter at Governmental Meeting
			Select Type of Contact Verbal (in Person or Phone) Written/Electronic Presenter at Governmental Meeting
			Select Type of Contact Verbal (in Person or Phone) Written/Electronic Presenter at Governmental Meeting
			Select Type of Contact Verbal (in Person or Phone) Written/Electronic Presenter at Governmental Meeting
			Select Type of Contact Verbal (in Person or Phone) Written/Electronic Presenter at Governmental Meeting
			Select Type of Contact Verbal (in Person or Phone) Written/Electronic Presenter at Governmental Meeting