Help With a Federal Agency

If you are having trouble getting an answer from a federal agency or if you have been treated unfairly, our office is here to help and get you the information you need. We will do our best to help you receive a fair and timely response to your problem.

Step 1: Please complete all required fields in the form below and fill out as many fields as possible.

Step 2: Provide date of birth and social security number.

Step 3: Print generated form and mail or fax it to our office.

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.

Help with a Federal Agency

Note: Fields marked with an * are required.

Prefix *

First Name *

Middle Initial

Last Name *

Suffix

Email *

Phone Number *

Street Address *

City *

State

Zip Code *

Agency Involved *

Agency case number(s) or "None" *

Branch of Service: (If Applicable)

Military Rank: (If Applicable)

Please Explain the Problem *

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Help With a Federal Agency

Help with a Federal Agency

Office Locations

Washington, DC

Plattsburgh

Ogdensburg

East Greenbush

Herkimer