Carl Levin - United States Senator for Michigan: Helping You

Request Help with Other Federal Issues

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Other Federal Issues

If you are experiencing a problem with a federal agency that is not addressed by the topics listed across the tabs on the top of the page – Medicare & Social Security, IRS & Taxes, Students, Military & Veterans, Travel & Passports, and Visas & Immigration – please click on the “Request Other Federal Help” button to the left and fill out the online form and privacy release and return it to my Detroit office. Please allow up to 30 days from the day we receive your release for my office to contact you.

If your issue is time sensitive, please call my Detroit office at (313) 226-6020 or TTY/Voice toll-free (800) 851-0030 (in state).

Carl Levin

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Description of Request

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Preview and Send Request

Please click on the Preview button to review any information you have entered on this page.

Once you have reviewed your information on the next page, press the Print and Submit button. This will generate a PDF containing all of the information you have entered as well as a privacy release form. Please print the form, sign and date the last page, and return the form in its entirety to my Detroit office by fax or mail.

Although the information on your form will be submitted to my office electronically, we cannot open an inquiry on your behalf until we receive your signed form.

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This is a preview of your Request. Please confirm that all of the information below is correct before submitting. If you would like to make any changes to the information you have provided, please use the "Edit" button below. Using your browser's buttons to navigate will cause all form information to be lost.

Primary Contact Info - Preview

Salutation *

First Name *

Middle Name

Last Name *

Suffix

Street Address *

Street Address (2)

City *

State *

Zip Code *

Primary Phone *

Secondary Phone

e-mail

Federal Agency Information - Preview

Federal Agency Involved *

Contacted another congressional office?*

Description of Request - Preview

Description
(please describe the problem in as much detail as necessary)

Preview and Send Request

Please review the information on this page. If you need to make any changes, click on the Edit button to return to the previous page.

To submit your request to my office, press the Print and Submit button. This will generate a PDF containing all of the information you have entered as well as a privacy release form. Please print the form, sign and date the last page, and return the form in its entirety to my Detroit office by fax or mail.

Although the information on your form will be submitted to my office electronically, we cannot open an inquiry on your behalf until we receive your signed form.

Edit

Preparing PDF...
Thank you for contacting me. The information on your form has been submitted electronically to my office. A PDF of your form is being generated automatically and should be ready within 10 seconds. If one is not available to download in that time, click here.

Once we have received your signed authorization, my staff will begin assessing how we can help. Please allow up to 30 days from the day we receive your release for my office to contact you. Thank you.