If you cannot get an answer from a federal agency in a timely fashion, or if you feel you have been treated unfairly, our 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 5th Congressional District of Michigan can contact us for assistance in dealing with Federal agencies. Clicking the link below will allow you to electronically fill out, sign, and submit the required Privacy Act waiver form that is the first step in this process.
Please include all pertinent information and claim numbers in your correspondence—such as:
- Your Social Security number
- VA claim number if applicable
- Taxpayer identification number (Social Security number, if individual) for an Internal Revenue Service problem, etc.
- Your address, phone number and email 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
- Explanation of the problem and summary of your desired outcome
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.
If you are unable to use the electronic form below or would prefer a paper copy form to fill out, please contact my District Office at 850-558-9450 (Tallahassee), 904-354-1652 (Jacksonville), and my staff will assist you further.
After you submit the form, you will receive an emailed confirmation, and my staff will follow up with you to confirm the details of your request.