1) Complete, print and sign this PRIVACY RELEASE form. Due to the Privacy Act, I need written permission from you in order to look into your case. You can download and print the form here, or request a copy of the form be mailed to you from my office.

2) Gather important paperwork. Please provide copies of letters from the involved agency, medical forms or any other pertinent documentation that may help me and my staff discuss your case with the appropriate agency. Please keep the originals of these documents yourself and send copies, as they will not be returned to you.

3) Please provide a written account of your problem. Include a detailed account of the problem, actions you have taken, the dates those actions occurred, responses from the agency and any other information you think would be helpful.

4) The Office of Personnel Management requires your CSA or CSF number as well as your Social Security number. You may also need to provide your date of birth. To report the death of an annuitant and to apply for survivor benefits, you will need to provide a death certificate.

Mail the collected information to my office

Senator Mark Pryor
The River Market
500 Clinton Avenue
Little Rock, Arkansas 72201

Little Rock Office
The River Market
500 Clinton Ave
Suite 401
Little Rock, AR 72201
Phone: (501) 324-6336
Fax: (501) 324-5320

Toll Free from AR:
(877) 259-9602

Washington, D.C. Office
255 Dirksen Senate Office Building
Washington, D.C. 20510
Phone: (202) 224-2353
Fax: (202) 228-0908