Legislative Operating Committee
Agenda Request Form
1) Request Date: _____________________________________________________
2) Contact Person(s): ______________________________________ Dept:____________________________
Phone Number:_________________________ Email: __________________________________________
3) Agenda Title:___________________________________________________________________________
4) Detailed description of the item and the reason/justification it is being brought before the Committee
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
List any supporting materials included and submitted with the Agenda Request Form
1) ________________________________
2) ________________________________
3) ________________________________
4) _________________________________
5) Please List any laws, ordinances or resolution that might be affected:
______________________________________________________________________________________
6) Please List all other departments or person(s) you have brought your concern to:
______________________________________________________________________________________
7) Do you consider this request urgent? Yes No
If yes, please indicate why: ________________________________________________________________
I, the undersigned, have reviewed the attached materials, and understand that they are subject to action by the
Legislative Operating Committee
Signature of Requester: __________________________________________________________________________
Please send this form and all supporting materials to:
LOC@oneidanation.org
or
Legislative Operating Committee (LOC)
P.O. Box 365
Oneida, WI 54155
Phone 920-869-4376
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