Complete and submit this form to request Representative Gimenez's appearance at a meeting, speaking function, or a non-speaking function. Due to the Member's schedule, not all requests can be filled.

Request an Appearance

Note: Fields marked with an * are required.


What are these options?

This is to help the constituents that are hard of hearing or use a video phone alert us to that fact so we can use the proper technology when we need to call them. The default option “Voice” is a normal audible telephone.

Human Validation