Constituent Success Stories

First Name*   Middle Name*   Last Name*   Home Address* Street 1 Street 2 City State - AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY AA AE AP FM GU MH MP PR VI AS Zip Home Phone () - Cell Phone* () - Email Address* Very briefly, what was the nature of your issue?*   How was Congressman Norcross' office able to help? Please describe the impact that our help made.*   May we share your story?* YesNo Indicate How You Would Like Your Name Displayed in Media Posts: (select one)* Select First name only Full name First name and last initial only Anonymous (no name used) Indicate How You Would Like Your Name Displayed in Media Posts: (select one)* is a required field. I certify the following statements: (Check all that apply)* I am a United States citizen I am a resident of New Jersey's 1st Congressional District I have not been convicted of a crime I have not been compensated for this testimony I certify the following statements: (Check all that apply)* is a required field. Please check here to confirm the name and information above is correct and is your own.* The information above is correct and is my own. Please check here to confirm the name and information above is correct and is your own.* is a required field. Our server could not verify that you are a human.