(Date)

(Your representative's address)

Dear Representative (Representative's name):

I respectfully request that the United States House of Representatives hold hearings and a vote on the question of sending a Bill of Impeachment of Vice President Richard Cheney to the United States Senate.

Such hearings should include the issue of Vice President Cheney's behavior in the Valerie Plame Affair. His behavior could only have been Criminal in ordering his Chief-of-Staff, Scooter Libby, to reveal Ms. Plame's status as an undercover CIA agent; or Conspiratorial in covering-up Mr. Libby's criminal acts; or Negligent in failing to follow-up on reports of Mr. Libby's criminal acts. Any such Crime or Conspiracy or Negligence warrants his impeachment and removal from office.

Thank you for your prompt attention to this matter,

(Your signature and address.)