This form is for reporting a bug or error in IDOA's Executive Branch Lobbyist Registration application.

RequiredRequired Field
Required First Name:
Required Last Name:
Required Phone Number:

Required E-mail:

Required Application Username:
Required Are you a lobbyist or delegate?
Name of Lobbyist:
(if you are a delegate)
Required Are you trying to register or file?
Required Year of Registration/Filing:
Required Date When You Tried to Register/File

Required Description of Your Issue:
Error Message if You Received One:

Every effort is made to resolve each ticket within 3 days.