RPAC Local Candidate Campaign Request Form

Check requests must be submitted to OAR a minimum of 2 weeks in advance of your check presentation date. OAR may contact you and ask you to modify your request to comply with state or federal campaign finance rules.

Check requests for elected offices that overlap association jurisdiction boundaries will require acknowledgement and approval by the other associations in that office’s jurisdiction. If the associations in question cannot come to an agreement, OAR may be available to moderate the dispute.
Requestor Name*
First Last
Title*
Email*
Phone*
Association Name*
Candidate Name*
First Last
Candidate Office*
Candidate Campaign Name*
Candidate Campaign Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Amount Requested*
Have you given to this candidate before?*
- Yes
- No
If yes, please list previous support
Does this office fall entirely within your association’s jurisdiction?*
- Yes
- No
If no, have you communicated with the other local associations that the office overlaps? Please explain:*
Date association plans to present the check*
Date Format: MM slash DD slash YYYY
Who at your association made the decision to support this candidate?*
Why did your association choose to support this candidate?*
How do you plan to foster your association's relationship with this candidate after providing a campaign support check?*