Talk To Your Representatives

You can use this form to contact your representatives.

Select one or more representatives from this list to send a message to. You may send to multiple recipients by holding down the "CTRL" button while selecting. Please do not use this tool to spam or send more than one email to a recipient.

Contents Of Your Email

Please fill out an email subject line and your message below. The email received by your representative/s will have your email address in the "From" and "Reply-To" fields, and it will not contain any UCLA/GSA references aside from what you may put in yourself.

Enter the subject for your email to your representative. Text entered in this field will show as the actual subject line of your email in your representative's inbox.

Enter your message to your representative in this field. Text entered in this field will show as the body of the email sent to your representative.

Your Contact Information

You contact information will be appended to the bottom of every email sent. This makes it easier for representatives to follow up with your communications.

The name of the person sending this email.

Please enter a valid email address. This will be used in the "From" and "Reply-To" fields in the email you send to your representative.

Please enter your phone number in this format: (XXX) XXX - XXXX

Additional Information

We request the following information for future tracking of this tool

Your department within UCLA.