Add New Elected Official
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Personal Information
First Name: *
Last Name: *
Middle Initial:
Preferred Name:
Gender:
Date of Birth:
Marital Status:
Race:
Religion:
Contact Information
Personal Phone:
Email:
Fax:
District Phone:
District Address:
Capitol Phone:
Capitol Office Address:
Legislative Information
State: *
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District Number:
Elected Position: *
Elected Date:
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Administrative Information
Legislative Assistant:
L.A. Phone:
L.A. Email:
Admin Assistant:
A.A. Phone:
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Date Record Created:
Date Record Updated:
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