VOICE (866) 866-SILC (7452) • (916) 445-0142
TTY (866) SILC-TTY ( 745-2889) • FAX (916) 445-5973
1600 K Street, Suite 100, Sacramento, CA 95814 • www.calsilc.org
Creating Policy and System Change
for Independent Living
California State Independent Living Council (SILC)
ACTION REQUEST FORM
Part of the SILC's role is to gather information about the unmet independent living
needs of Californians with disabilities and help create plans to address those
needs. Public information and dialogue with the Council are encouraged to help
the SILC provide recommendations to the Governor’s Office and inform partner
organizations. The Action Request Form (ARF) is intended as one method of
gathering information. We welcome your input and will act appropriately within our
available resources. Please use as much space as needed to complete the form
below to help us understand your comment or request.
The SILC may respond to requests in a variety of ways, including tracking
requests, using ARF information to notify or educate legislators, and in decisionmaking processes to support or oppose proposed legislation impacting
independent living needs. We will acknowledge receipt of your ARF within 5
business days and respond to requests within 45 calendar days. Please submit
ARFs by email to: [email protected] or by standard mail: California State
Independent Living Council, 1600 K Street, STE 100, Sacramento, CA 95184
(Attn: Cheryl Kasai).
CONTACT INFORMATION:
Name and Title:
Name of Organization:
Email:
Phone number:
TYPE OF REQUEST
Request to provide educational information on a bill
Request by an individual for support or opposition on proposed governmental
policy
Request by an organization for support or opposition on proposed
governmental policy
Other action request
SUMMARY/ REASON FOR ACTION REQUEST
1) Describe the issue or legislation you are concerned with. Does a problem truly
exist? Will an unintended consequence(s) arise from the action/bill being
proposed? If so, what is being proposed to resolve the unintended
consequence?
2) If possible, provide examples of how this action would help or harm the
disability community and/or your agency’s objectives.
3) Briefly, list your thoughtful argument(s) regarding the issue or legislation you
are concerned with.