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Submitted URL: https://iqconnect.house.gov/iqextranet/iqClickTrk.aspx?&cid=OR06AS&crop=14409.5116940.5006982.7235757&report_id=&redirect=ht...
Effective URL: https://docs.google.com/forms/d/1vHFYkWD47sxRdiY2i9_7KDM6mLNDET0VRY7jQ0zDTqI/viewform?edit_requested=true
Submission: On November 12 via manual from IN — Scanned from DE

Form analysis 1 forms found in the DOM

POST https://docs.google.com/forms/d/e/1FAIpQLSdARfdcXjsaRplACYCCWaT0ezh7ixgol3uPruuK-G44mazbwg/formResponse

<form action="https://docs.google.com/forms/d/e/1FAIpQLSdARfdcXjsaRplACYCCWaT0ezh7ixgol3uPruuK-G44mazbwg/formResponse" target="_self" method="POST" id="mG61Hd" jsmodel="TOfxwf Q91hve CEkLOc" data-shuffle-seed="-2792193831608039201"
  data-clean-viewform-url="https://docs.google.com/forms/d/e/1FAIpQLSdARfdcXjsaRplACYCCWaT0ezh7ixgol3uPruuK-G44mazbwg/viewform?edit_requested=true" data-response="%.@.[]]" data-dlp-data="%.@.null,false,[]]" data-first-entry="0" data-last-entry="6"
  data-is-first-page="true">
  <div jscontroller="yUS4Lc" jsaction="rcuQ6b:rcuQ6b;UxRBlf:rcuQ6b;">
    <div jsname="o6bZLc"><input type="hidden" name="entry.184555434" value=""><input type="hidden" name="entry.1690791240" value=""><input type="hidden" name="entry.268572586" value=""><input type="hidden" name="entry.1861633421" value=""><input
        type="hidden" name="entry.605987200" value=""></div>
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  <div class="RH5hzf RLS9Fe">
    <div class="lrKTG">
      <div class="Dq4amc">
        <div class="m7w29c O8VmIc tIvQIf"><noscript>
            <div class="HB1eCd-X3SwIb-haAclf">
              <div class="HB1eCd-X3SwIb-i8xkGf">
                <div class="tk3N6e-cXJiPb tk3N6e-cXJiPb-TSZdd tk3N6e-cXJiPb-GMvhG">Die Datei kann in Ihrem Browser nicht geöffnet werden, weil JavaScript nicht aktiviert ist. Aktivieren Sie JavaScript und laden Sie die Seite noch einmal.</div>
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          <div class="N0gd6">
            <div class="ahS2Le">
              <div class="F9yp7e ikZYwf LgNcQe" dir="auto" role="heading" aria-level="1">Rep. Salinas' Telephone Town Hall</div>
            </div>
            <div class="cBGGJ OIC90c" dir="auto">Please fill out this form to sign up for Rep. Salinas' Telephone Town Hall and receive a phone call when it begins.<div><b><br></b></div>
              <div><b>This is a LIVE event that will take place on Monday, November 13th at 5:30 PM PT.</b>&nbsp;If you have issues filling out the form or have questions, please call my office at (202) 225-5643.</div>
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            <div jsname="F0H8Yc" class="liS6Hc"></div>
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          <div class="DqBBlb">
            <div class="Oh1Vtf">
              <div class="kesdnc" id="SMMuxb">
                <a jscontroller="A2m8uc" jsaction="rcuQ6b:npT2md; click:mAWTmb;" href="https://accounts.google.com/Login?continue=https%3A%2F%2Fdocs.google.com%2Fforms%2Fd%2Fe%2F1FAIpQLSdARfdcXjsaRplACYCCWaT0ezh7ixgol3uPruuK-G44mazbwg%2Fviewform%3Ffbzx%3D-2792193831608039201" aria-describedby="SMMuxb">In Google anmelden</a>,
                um den Fortschritt zu speichern. <a class="TYUeKb" jscontroller="rmdjlf" jsaction="rcuQ6b:npT2md; click:xdDXgc;" role="button" tabindex="0">Weitere Informationen</a></div>
            </div>
            <div class="zAVwcb"></div>
            <div class="md0UAd" aria-hidden="true" dir="auto">*&nbsp;Gibt eine erforderliche Frage an</div>
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          <div jsmodel="CP1oW"
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                <div class="M4DNQ">
                  <div id="i1" class="HoXoMd D1wxyf RjsPE" role="heading" aria-level="3" aria-describedby="i4"><span class="M7eMe">First Name</span><span class="vnumgf" id="i4" aria-label="Pflichtfrage"> *</span></div>
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                </div>
              </div>
              <div jscontroller="oCiKKc" jsaction="rcuQ6b:vZc4S;O22p3e:zjh6rb;b2trFe:eVidQc;sPvj8e:d3sQLd;AHmuwe:h06R8;" class="AgroKb">
                <div class="rFrNMe k3kHxc RdH0ib yqQS1 zKHdkd" jscontroller="pxq3x" jsaction="clickonly:KjsqPd; focus:Jt1EX; blur:fpfTEe; input:Lg5SV" jsshadow="" jsname="YPqjbf">
                  <div class="aCsJod oJeWuf">
                    <div class="aXBtI Wic03c">
                      <div class="Xb9hP"><input type="text" class="whsOnd zHQkBf" jsname="YPqjbf" autocomplete="off" tabindex="0" aria-labelledby="i1" aria-describedby="i2 i3" required="" dir="auto" data-initial-dir="auto" data-initial-value="">
                        <div jsname="LwH6nd" class="ndJi5d snByac" aria-hidden="true">Meine Antwort</div>
                      </div>
                      <div class="i9lrp mIZh1c"></div>
                      <div jsname="XmnwAc" class="OabDMe cXrdqd"></div>
                    </div>
                  </div>
                  <div class="LXRPh">
                    <div jsname="ty6ygf" class="ovnfwe Is7Fhb"></div>
                  </div>
                </div>
              </div>
              <div jsname="Rfh2Tc" class="SL4Sz" id="i3" role="alert"></div>
            </div>
          </div>
        </div>
        <div class="Qr7Oae" role="listitem">
          <div jsmodel="CP1oW"
            data-params="%.@.[486345697,&quot;Last Name&quot;,null,0,[[1690791240,[],true,[],[],null,null,null,null,null,[null,[]]]],null,null,null,[],null,null,[null,&quot;Last Name&quot;]],&quot;i5&quot;,&quot;i6&quot;,&quot;i7&quot;,false]">
            <div jscontroller="sWGJ4b" jsaction="EEvAHc:yfX9oc;" jsname="WsjYwc" class="geS5n">
              <div class="z12JJ">
                <div class="M4DNQ">
                  <div id="i5" class="HoXoMd D1wxyf RjsPE" role="heading" aria-level="3" aria-describedby="i8"><span class="M7eMe">Last Name</span><span class="vnumgf" id="i8" aria-label="Pflichtfrage"> *</span></div>
                  <div class="gubaDc OIC90c RjsPE" id="i6"></div>
                </div>
              </div>
              <div jscontroller="oCiKKc" jsaction="rcuQ6b:vZc4S;O22p3e:zjh6rb;b2trFe:eVidQc;sPvj8e:d3sQLd;AHmuwe:h06R8;" class="AgroKb">
                <div class="rFrNMe k3kHxc RdH0ib yqQS1 zKHdkd" jscontroller="pxq3x" jsaction="clickonly:KjsqPd; focus:Jt1EX; blur:fpfTEe; input:Lg5SV" jsshadow="" jsname="YPqjbf">
                  <div class="aCsJod oJeWuf">
                    <div class="aXBtI Wic03c">
                      <div class="Xb9hP"><input type="text" class="whsOnd zHQkBf" jsname="YPqjbf" autocomplete="off" tabindex="0" aria-labelledby="i5" aria-describedby="i6 i7" required="" dir="auto" data-initial-dir="auto" data-initial-value="">
                        <div jsname="LwH6nd" class="ndJi5d snByac" aria-hidden="true">Meine Antwort</div>
                      </div>
                      <div class="i9lrp mIZh1c"></div>
                      <div jsname="XmnwAc" class="OabDMe cXrdqd"></div>
                    </div>
                  </div>
                  <div class="LXRPh">
                    <div jsname="ty6ygf" class="ovnfwe Is7Fhb"></div>
                  </div>
                </div>
              </div>
              <div jsname="Rfh2Tc" class="SL4Sz" id="i7" role="alert"></div>
            </div>
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        </div>
        <div class="Qr7Oae" role="listitem">
          <div jsmodel="CP1oW"
            data-params="%.@.[1578569365,&quot;Phone Number&quot;,null,0,[[268572586,[],true,[],[],null,null,null,null,null,[null,[]]]],null,null,null,[],null,null,[null,&quot;Phone Number&quot;]],&quot;i9&quot;,&quot;i10&quot;,&quot;i11&quot;,false]">
            <div jscontroller="sWGJ4b" jsaction="EEvAHc:yfX9oc;" jsname="WsjYwc" class="geS5n">
              <div class="z12JJ">
                <div class="M4DNQ">
                  <div id="i9" class="HoXoMd D1wxyf RjsPE" role="heading" aria-level="3" aria-describedby="i12"><span class="M7eMe">Phone Number</span><span class="vnumgf" id="i12" aria-label="Pflichtfrage"> *</span></div>
                  <div class="gubaDc OIC90c RjsPE" id="i10"></div>
                </div>
              </div>
              <div jscontroller="oCiKKc" jsaction="rcuQ6b:vZc4S;O22p3e:zjh6rb;b2trFe:eVidQc;sPvj8e:d3sQLd;AHmuwe:h06R8;" class="AgroKb">
                <div class="rFrNMe k3kHxc RdH0ib yqQS1 zKHdkd" jscontroller="pxq3x" jsaction="clickonly:KjsqPd; focus:Jt1EX; blur:fpfTEe; input:Lg5SV" jsshadow="" jsname="YPqjbf">
                  <div class="aCsJod oJeWuf">
                    <div class="aXBtI Wic03c">
                      <div class="Xb9hP"><input type="text" class="whsOnd zHQkBf" jsname="YPqjbf" autocomplete="off" tabindex="0" aria-labelledby="i9" aria-describedby="i10 i11" required="" dir="auto" data-initial-dir="auto" data-initial-value="">
                        <div jsname="LwH6nd" class="ndJi5d snByac" aria-hidden="true">Meine Antwort</div>
                      </div>
                      <div class="i9lrp mIZh1c"></div>
                      <div jsname="XmnwAc" class="OabDMe cXrdqd"></div>
                    </div>
                  </div>
                  <div class="LXRPh">
                    <div jsname="ty6ygf" class="ovnfwe Is7Fhb"></div>
                  </div>
                </div>
              </div>
              <div jsname="Rfh2Tc" class="SL4Sz" id="i11" role="alert"></div>
            </div>
          </div>
        </div>
        <div class="Qr7Oae" role="listitem">
          <div jsmodel="CP1oW"
            data-params="%.@.[1243187385,&quot;Email Address&quot;,null,0,[[1861633421,[],true,[],[],null,null,null,null,null,[null,[]]]],null,null,null,[],null,null,[null,&quot;Email Address&quot;]],&quot;i13&quot;,&quot;i14&quot;,&quot;i15&quot;,false]">
            <div jscontroller="sWGJ4b" jsaction="EEvAHc:yfX9oc;" jsname="WsjYwc" class="geS5n">
              <div class="z12JJ">
                <div class="M4DNQ">
                  <div id="i13" class="HoXoMd D1wxyf RjsPE" role="heading" aria-level="3" aria-describedby="i16"><span class="M7eMe">Email Address</span><span class="vnumgf" id="i16" aria-label="Pflichtfrage"> *</span></div>
                  <div class="gubaDc OIC90c RjsPE" id="i14"></div>
                </div>
              </div>
              <div jscontroller="oCiKKc" jsaction="rcuQ6b:vZc4S;O22p3e:zjh6rb;b2trFe:eVidQc;sPvj8e:d3sQLd;AHmuwe:h06R8;" class="AgroKb">
                <div class="rFrNMe k3kHxc RdH0ib yqQS1 zKHdkd" jscontroller="pxq3x" jsaction="clickonly:KjsqPd; focus:Jt1EX; blur:fpfTEe; input:Lg5SV" jsshadow="" jsname="YPqjbf">
                  <div class="aCsJod oJeWuf">
                    <div class="aXBtI Wic03c">
                      <div class="Xb9hP"><input type="text" class="whsOnd zHQkBf" jsname="YPqjbf" autocomplete="off" tabindex="0" aria-labelledby="i13" aria-describedby="i14 i15" required="" dir="auto" data-initial-dir="auto" data-initial-value="">
                        <div jsname="LwH6nd" class="ndJi5d snByac" aria-hidden="true">Meine Antwort</div>
                      </div>
                      <div class="i9lrp mIZh1c"></div>
                      <div jsname="XmnwAc" class="OabDMe cXrdqd"></div>
                    </div>
                  </div>
                  <div class="LXRPh">
                    <div jsname="ty6ygf" class="ovnfwe Is7Fhb"></div>
                  </div>
                </div>
              </div>
              <div jsname="Rfh2Tc" class="SL4Sz" id="i15" role="alert"></div>
            </div>
          </div>
        </div>
        <div class="Qr7Oae" role="listitem">
          <div jsmodel="CP1oW"
            data-params="%.@.[985443352,&quot;Home Address&quot;,null,0,[[605987200,[],true,[],[],null,null,null,null,null,[null,[]]]],null,null,null,[],null,null,[null,&quot;Home Address&quot;]],&quot;i17&quot;,&quot;i18&quot;,&quot;i19&quot;,false]">
            <div jscontroller="sWGJ4b" jsaction="EEvAHc:yfX9oc;" jsname="WsjYwc" class="geS5n">
              <div class="z12JJ">
                <div class="M4DNQ">
                  <div id="i17" class="HoXoMd D1wxyf RjsPE" role="heading" aria-level="3" aria-describedby="i20"><span class="M7eMe">Home Address</span><span class="vnumgf" id="i20" aria-label="Pflichtfrage"> *</span></div>
                  <div class="gubaDc OIC90c RjsPE" id="i18"></div>
                </div>
              </div>
              <div jscontroller="oCiKKc" jsaction="rcuQ6b:vZc4S;O22p3e:zjh6rb;b2trFe:eVidQc;sPvj8e:d3sQLd;AHmuwe:h06R8;" class="AgroKb">
                <div class="rFrNMe k3kHxc RdH0ib yqQS1 zKHdkd" jscontroller="pxq3x" jsaction="clickonly:KjsqPd; focus:Jt1EX; blur:fpfTEe; input:Lg5SV" jsshadow="" jsname="YPqjbf">
                  <div class="aCsJod oJeWuf">
                    <div class="aXBtI Wic03c">
                      <div class="Xb9hP"><input type="text" class="whsOnd zHQkBf" jsname="YPqjbf" autocomplete="off" tabindex="0" aria-labelledby="i17" aria-describedby="i18 i19" required="" dir="auto" data-initial-dir="auto" data-initial-value="">
                        <div jsname="LwH6nd" class="ndJi5d snByac" aria-hidden="true">Meine Antwort</div>
                      </div>
                      <div class="i9lrp mIZh1c"></div>
                      <div jsname="XmnwAc" class="OabDMe cXrdqd"></div>
                    </div>
                  </div>
                  <div class="LXRPh">
                    <div jsname="ty6ygf" class="ovnfwe Is7Fhb"></div>
                  </div>
                </div>
              </div>
              <div jsname="Rfh2Tc" class="SL4Sz" id="i19" role="alert"></div>
            </div>
          </div>
        </div>
        <div class="Qr7Oae" role="listitem">
          <div jsmodel="CP1oW"
            data-params="%.@.[1534234071,&quot;Would you like to sign up for email updates from my office?&quot;,null,2,[[302746915,[[&quot;Yes&quot;,null,null,null,false],[&quot;No&quot;,null,null,null,false]],false,[],[],null,null,null,false,null,[null,[]]]],null,null,null,[],null,null,[null,&quot;Would you like to sign up for email updates from my office?&quot;]],&quot;i21&quot;,&quot;i22&quot;,&quot;i23&quot;,false]">
            <div jscontroller="sWGJ4b" jsaction="EEvAHc:yfX9oc;" jsname="WsjYwc" class="geS5n">
              <div class="z12JJ">
                <div class="M4DNQ">
                  <div id="i21" class="HoXoMd D1wxyf RjsPE" role="heading" aria-level="3"><span class="M7eMe">Would you like to sign up for email updates from my office?</span></div>
                  <div class="gubaDc OIC90c RjsPE" id="i22"></div>
                </div>
              </div>
              <div jscontroller="UmOCme" jsaction="rcuQ6b:vZc4S;O22p3e:zjh6rb;b2trFe:eVidQc;JIbuQc:RgMCxe(YlCLKb);sPvj8e:d3sQLd;TYy3Ne:RgMCxe;" class="oyXaNc" jsname="GCYh9b"><input type="hidden" name="entry.302746915_sentinel" jsname="DTMEae">
                <div jscontroller="eFy6Rc" jsaction="sPvj8e:Gh295d" jsname="cnAzRb">
                  <div class="lLfZXe fnxRtf cNDBpf" jscontroller="wPRNsd" jsshadow="" jsaction="keydown: I481le;JIbuQc:JIbuQc;rcuQ6b:rcuQ6b" jsname="wCJL8" aria-labelledby="i21" aria-describedby="i22 i23" role="radiogroup"><span jsslot=""
                      role="presentation" jsname="bN97Pc" class="H2Gmcc tyNBNd">
                      <div class="SG0AAe">
                        <div class="nWQGrd zwllIb"><label for="i25" class="docssharedWizToggleLabeledContainer ajBQVb">
                            <div class="bzfPab wFGF8">
                              <div class="d7L4fc bJNwt  FXLARc aomaEc ECvBRb">
                                <div id="i25" class="Od2TWd hYsg7c" jscontroller="D8e5bc"
                                  jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventMouseEvents=true|preventDefault=true); touchcancel:JMtRjd;"
                                  jsshadow="" aria-label="Yes" data-value="Yes" role="radio" aria-checked="false" aria-posinset="1" aria-setsize="2" tabindex="0">
                                  <div class="x0k1lc MbhUzd"></div>
                                  <div class="uyywbd"></div>
                                  <div class="vd3tt">
                                    <div class="AB7Lab Id5V1">
                                      <div class="rseUEf nQOrEb"></div>
                                    </div>
                                  </div>
                                </div>
                              </div>
                              <div class="YEVVod">
                                <div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">Yes</span></div>
                              </div>
                            </div>
                          </label></div>
                        <div class="nWQGrd zwllIb"><label for="i28" class="docssharedWizToggleLabeledContainer ajBQVb">
                            <div class="bzfPab wFGF8">
                              <div class="d7L4fc bJNwt  FXLARc aomaEc ECvBRb">
                                <div id="i28" class="Od2TWd hYsg7c" jscontroller="D8e5bc"
                                  jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventMouseEvents=true|preventDefault=true); touchcancel:JMtRjd;"
                                  jsshadow="" aria-label="No" data-value="No" role="radio" aria-checked="false" aria-posinset="2" aria-setsize="2" tabindex="0">
                                  <div class="x0k1lc MbhUzd"></div>
                                  <div class="uyywbd"></div>
                                  <div class="vd3tt">
                                    <div class="AB7Lab Id5V1">
                                      <div class="rseUEf nQOrEb"></div>
                                    </div>
                                  </div>
                                </div>
                              </div>
                              <div class="YEVVod">
                                <div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">No</span></div>
                              </div>
                            </div>
                          </label></div>
                      </div>
                    </span></div>
                </div>
                <div class="Jwjdfe">
                  <div class="dMALK bQXwDc" jsname="YlCLKb">
                    <div role="button" class="uArJ5e UQuaGc kCyAyd" jscontroller="VXdfxd"
                      jsaction="click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventMouseEvents=true|preventDefault=true); touchcancel:JMtRjd;focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;"
                      jsshadow="" tabindex="0">
                      <div class="Fvio9d MbhUzd" jsname="ksKsZd"></div>
                      <div class="e19J0b CeoRYc"></div><span jsslot="" class="l4V7wb Fxmcue"><span class="NPEfkd RveJvd snByac">Auswahl löschen</span></span>
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                </div>
              </div>
              <div jsname="Rfh2Tc" class="SL4Sz" id="i23" role="alert"></div>
            </div>
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      <div class="ThHDze" jscontroller="lSvzH" jsaction="rcuQ6b:npT2md;JIbuQc:qV61Ff(X5DuWc),Gl574d(QR6bsb),V3upec(GeGHKb),HiUbje(M2UYVd),NPBnCf(OCpkoe); keydown:duASZc" data-shuffle-seed="-2792193831608039201"
        data-should-execute-invisible-captcha-challenge="false" data-is-receipt-checked="false">
        <div class="DE3NNc CekdCb">
          <div class="lRwqcd">
            <div role="button" class="uArJ5e UQuaGc Y5sE8d VkkpIf QvWxOd" jscontroller="VXdfxd"
              jsaction="click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventMouseEvents=true|preventDefault=true); touchcancel:JMtRjd;focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;"
              jsshadow="" jsname="M2UYVd" tabindex="0">
              <div class="Fvio9d MbhUzd" jsname="ksKsZd"></div>
              <div class="e19J0b CeoRYc"></div><span jsslot="" class="l4V7wb Fxmcue"><span class="NPEfkd RveJvd snByac">Senden</span></span>
            </div>
          </div>
          <div class="nYdzXd">
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Rep. Salinas' Telephone Town Hall
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