Casework Form

Federal Agencies—Getting Help

Residents of the 4thCongressional District of Californiacan 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:

  • 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.

Please send the form to: Office of Congressman Tom McClintock, 8700 Auburn-Folsom Road, Suite 100, Granite Bay, CA 95746
 


Authorization Form

In accordance with the Privacy Act of 1974, I give CongressmanTom McClintockauthority to act on my behalf.

 
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Print and Sign

Click on the "Generate Authorization" button above to produce the printable 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.

PDF Version of the Authorization Form

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Upcoming Events

 Satellite Office Hours
Office staff members are available to assist constituents with problems or concerns at satellite office locations held throughout the district.  Anyone wishing to discuss an issue of federal concern is invited to attend one of these satellite office sessions and speak with a member of staff.  For more information, or to reach staff anytime, please call the district office at 916-786-5560.
 
Upcoming November Satellite Office Hours:
 
El Dorado County

El Dorado Hills
Thursday, November 1, 2012
9:00 am to 11:00 am
California Welcome Center
2085 Vine Street, Suite 105
El Dorado Hills, CA 95762

Placer County

Auburn
Tuesday, November 13, 2012
9:00 am to 11:00 am
Placer County Government Center
CEO 3 Meeting Room
175 Fulweiler Avenue
Auburn, CA 95603

Lincoln
Tuesday, November 13, 2012
3:00 pm to 5:00 pm
Lincoln City Hall
600 6th Street
Lincoln, CA 95648

Rocklin
Tuesday, November 27, 2012
3:00 pm to 5:00 pm
City Hall Conference Room
3980 Rocklin Road
Rocklin, CA 95677
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