Help with a Federal Agency

Note: Fields marked with an * are required.

If you have been unable to receive a response from a federal agency in a timely fashion, or if you feel you have been treated unfairly, our office may be able to help resolve a problem or get you the information you need. While we cannot guarantee you a favorable outcome, we will do our best to help you receive a fair and timely response.

Privacy Release Form

Please Note:
The Privacy Act of 1974 (5 U.S.C. § 552a) requires that Members of Congress or their staff have written authorization before they can obtain information about an individual's case. We must have your signature to proceed with this type of request.

For assistance, please fill out the form below and a member of my staff will contact you with the appropriate privacy release form.

Note: Fields marked with an * are required.

Your Information
Telephone
What are these options?

This is to help the constituents that are hard of hearing or use a video phone alert us to that fact so we can use the proper technology when we need to call them. The default option “Voice” is a normal audible telephone.

Human Validation