Help with a Federal Agency

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 fill out and return this form to my office via any of the following ways:

• Scan and email: bera.district@mail.house.gov
• Fax: (916) 635-0514
• Mail: 11070 White Rock Rd - Suite 195, Rancho Cordova, CA 95670