Help With A Federal Agency

If you can't get an answer from a state 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 multi-step process. Please complete as many fields in the form below as possible, required fields are noted. You will be contacted by staff in my office before we can inquire into your case.

Required fields are followed by *.

Contact Information

Prefix

First Name *

Last Name *

Suffix

Email Address *

Street Address *

City *

State *

Zip Code *

Phone Number *

Case Information

Social Security Number

Date of Birth *

Agency Involved

Agency Case Number(s)

Description of Problem *

Branch of Service (if applicable)

Military Rank (if applicable)