If you can't get an answer 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 to your problem.
This type of request is a three step process. Please complete as many fields in the form below as possible, required fields are noted. In the second step you will be asked for your date of birth and social security number. In the third step you will be asked to print the generated form and mail or fax it to our office.
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.
I certify, under penalty of perjury, that the information in this request is complete, true, and correct to the best of my knowledge.