Please send the information on this form to Debbie Pease (see District 17) after anyone in your district contacts a legislator.
This form can be downloaded from our website SDSCO.2truth.com.

District #
Your Name:
Candidate or Legislator Contacted: House Senate Governor
Their Name:
Contacted by: personal visit phone call mail email fax
Fact Sheet Given:

If you spoke to the candidate please answer the following questions:
Is Candidate: For Against Undecided didn’t talk about CPM licensure
For Against Undecided didn’t talk about CNM freedom from collaborative agreement
For Against Undecided didn’t talk about full disclosure on medical interventions
For Against Undecided didn’t talk about jury exemption for breastfeeding moms

What were the main points discussed?

What were their primary concerns?

Other comments: