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Help with a Federal Agency

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.

Residents of the 9th Congressional District of North Carolina can contact us for assistance in dealing with Federal agencies. We are unable to assist residents outside of the district. In order to better serve you, this form will generate a printable pdf document that you should sign and mail, or fax. We are unable to accept this form electronically.

Please include all pertinent information and claim numbers in your correspondence—such as:

  • Your Social Security number for a case involving Social Security;
  • VA claim number for a case with Department of Veterans Affairs;
  • Taxpayer identification number (Social Security number, if individual) for an Internal Revenue Service problem, etc.;
  • Your address, home phone number and daytime phone number (if different than home) so that we can obtain any additional information from you that might be necessary;
  • Copies of any related documents or correspondence that you may have from the agency involved;

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. You must review, print, and sign the document after it's generated from the information you enter below.

**PLEASE NOTE THIS IS A GENERAL PRIVACY FORM AND YOU MAY BE REQUIRED TO COMPLETE A DIFFERENT FORM IN ADDITION TO THIS ONE. SOME AGENCIES REQUIRE A SPECIAL FORM.**

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