Constituent Services Request Form

Every constituent service request is priority for Rep. Connolly. Working with his legislative aide, Chris Addis, and our agency liaisons, Rep. Connolly can help you navigate state government programs and services including: Unemployment Assistance (DUA), SNAP Benefits, MassHealth eligibility, Paid Family and Medical Leave, and more. All information shared on this form is confidential. For DUA requests, please include your claimant ID. Feel free to call our office at (617) 722-2230 with any questions or concerns. Thank you.

Describe your request

First Name

Last Name

Mobile phone (optional)

Address (Street, City, State, Zip)

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