Solicitation Waiver

This form should be submitted by House Members, officers, and employees seeking permission to fundraise on behalf of organizations or individuals not qualified under section 170(c) of the International Revenue Code (IRC), such as an IRC § 501 (c)(3) organization, or organizations that are founded or controlled by current Members, officers, or employees. Please complete this form and submit it along with additional supporting documents to the Committee at 1015 Longworth House Office building, or e-mailed to ethicscommittee@mail.house.gov.