Request a Meeting with the Lieutenant Governor

The Lieutenant Governor has a very busy schedule. Please provide the information requested below and our scheduling staff will follow up with you.

Please note that we will be unable to process incomplete or inaccurate entries.

Your Name * First Last
Enter your first and last name.
Organization

If you represent an organization, please include it here.
Your Title

If you are part of an organization, please include your title.
Your Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Enter your contact address.
Phone * - ### - ### ####
Enter your phone number.
Your Email Address *

Enter your email address.
Meeting Subject *

Subject of the meeting
Your Comments *
Length of Meeting *

Please let us know how many minutes you need for your meeting.
Purpose of Meeting *
Discussion Points *

Please list discussion points
Meeting Date (First Choice) * / MM / DD YYYY
Meeting Date (Second Choice) * / MM / DD YYYY
Meeting Date (Third Choice) * / MM / DD YYYY
Attendees Names *

List full names of other attendees.
Upload a File

Upload a supporting file (less than 2MB please.)
Type the letters you see in the image below.