[Date]

[Your Name]
[Your Address]
[Your City, State, Zip]
[Your Email]
[Your Phone]

The Honorable [Name of Representative or Senator]
[Address]
[City, State, Zip]


Dear Representative [Last name]/Senator [Last name]:

I am a resident of District [number], [City], and [State (spelled out)]. I am [list “credentials”, and explain your purpose]. (Be sure to specifically list the issue or bill that you are writing them about).

This issue is very important to me because [provide specific factual information about how the issue affects you, your family, etc.]. (Make a connection to his/her constituency with any facts or figures available).

I urge you to vote [for] [against] [Bill ID] [bill issue]. (Close by requesting specific action).

Thank you for taking the time to read this letter.


Sincerely,


[Name below Signature]