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If you can't get an answer from a federal agency in a timely fashion, or if you feel you have been treated unfairly, my 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 8th Congressional District of Minnesota can contact me for assistance in dealing with Federal agencies. In order to better serve you, this form will generate a printable page that you should sign and mail to my office.
Please include all pertinent information and claim numbers in your correspondence—such as:
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.
* indicates information that you need to provide.
Prefix:* Select One Mr. Mrs. Ms. Dr.
First Name:*
Middle Initial:
Last Name:*
Suffix:
Street Address:*
Address 2:
City:*
State:* MN
Zip Code:* +4 (Determine your ZIP+4)
Preferred Phone Number:* Home Work Cell
Alternate Phone Number: Home Work Cell
E-mail:*
Mailing Address (if different from above):
Date of Birth:*
Federal Agency Involved:* COBRA (Consolidated Omnibus Budget Reconciliation Act) Department of Defense (DOD) Department of Education Department of Homeland Security (DHS) Department of Housing and Urban Development (HUD) Department of Justice (DOJ) Department of State Department of Transportation (DOT) Equal Employment Opportunity Commission (EEOC) Federal Emergency Management Agency (FEMA) Internal Revenue Service (IRS) National Labor Relations Board (NLRB) Office of Personnel Management (OPM) Office of Workers’ Compensation Programs (OWCP) Small Business Administration (SBA) Social Security Administration (SSA) Transportation Security Administration (TSA) Treasury (including Comptroller of the Currency) United States Citizenship & Immigration Services (USCIS) United States Postal Service (USPS) Veterans Administration (VA)
Case Number(s):
What is the problem?:*
What have you done to try to resolve the problem?:*
What is the current status of the problem?:*
What has the federal agency told you?*:
Have you contacted any other office for assistance? If yes, which office?:*
How would you like Congressman to help you:*
Print This Form
Use the Generate Request button to produce the document to authorize my office to help you. Then sign it and mail it to the address shown on the document. Please include any other documents or material that you think would help my office help you.