CMRPC Legislative Affairs Request for Action/Review

Process

Please complete the following questionnaire to the greatest extent possible.

The form should be submitted at least two weeks prior to a Legislative Affairs Committee meeting (typically they meet once a month.)

Once received, CMRPC staff will distribute responses to the Committee for their review.

The Chair will decide whether to seek additional information and, if and,when to place on an agenda for further committee consideration.

Other stakeholders may be called on to attend the meeting and/or provide information (pro or con) on the matter.

The Committee will hear from the questionnaire respondent and will then make a recommendation to the CMRPC Executive Committee.

Question Title

* 1. Date

Month/Day/Year

Date

Question Title

* 2. Requester contact information. Please provide the following information so that we may contact you to obtain additional information.

Requester Name: *

Organization: *

Address:

Address 2:

City/Town:

State:

ZIP:

Email Address: *

Phone Number: *

Question Title

* 3. Affiliation/Role/Position

CMRPC Delegate/Commissioner

Mayor, Town Administrator, Manager, or similar

Select Person, Councilor, or equivalent

Planning Board Member

Conservation Commission Member

Emergency Personnel

Professional Town/City Planner

Public Works

Other Municipal Board, Commission or Agency

Other (please specify)

Question Title

* 4. Bill Number, Bill Name, Principal Sponsors (Please answer as completely as possible)

Bill Number

Bill Name

Bill History (First Introduced)

Principal Sponsors

Other Proponents/Supporters

Primary Opponents

Question Title

* 5. Provide a brief description of the bill and its current status. If a hearing has been set, please provide the name of the committee, date, time, and location (if known). (Answer as fully as possible).

Question Title

* 6. Perceived impacts?

	Yes	No	Maybe/Not Sure	It depends
Municipal budget impact	Municipal budget impact Yes	Municipal budget impact No	Municipal budget impact Maybe/Not Sure	Municipal budget impact It depends
State budget impact	State budget impact Yes	State budget impact No	State budget impact Maybe/Not Sure	State budget impact It depends
Municipal tax impact	Municipal tax impact Yes	Municipal tax impact No	Municipal tax impact Maybe/Not Sure	Municipal tax impact It depends
State tax impact	State tax impact Yes	State tax impact No	State tax impact Maybe/Not Sure	State tax impact It depends
Just one community	Just one community Yes	Just one community No	Just one community Maybe/Not Sure	Just one community It depends
All communities similarly	All communities similarly Yes	All communities similarly No	All communities similarly Maybe/Not Sure	All communities similarly It depends

Additional related comments

Question Title

* 7. If the bill does not impact all CMRPC communities, which ones are most concerned with the bill's passage and why?

Question Title

* 8. Describe the perceived benefit/impact to CMRPC, the organization.

Question Title

* 9. Describe the perceived benefit/impact to CMRPC communities.

Question Title

* 10. Describe the perceived benefit impact to CMRPC residents.

Question Title

* 11. Describe any other perceived benefits or impacts that should be considered.

Question Title

* 12. Desired Action (Check all that apply)

CMRPC Agency vote to support / promote passage

CMRPC Agency vote to discourage advancement

Letter to legislators indicating CMRPC position

Educate constituents/communities and request action by others

Educate constituents/communities

Other (please explain)