Ohio Office One Maritime Plaza Sixth Floor Toledo, Ohio 43604 (800)964-4699 Tel: (419) 259-7500 Fax: (419) 255-9623 Washington Office 2366 Rayburn Bldg. Washington, DC 20515 Tel: (202) 225-4146 Fax: (202) 225-7711	We are available to: Help you resolve problems with federal agencies Assist with claims for Social Security and veterans benefits Locate local help for hard times Offer links to federal, state, and local resources Please complete the authorization form below and return it to my Toledo office. Use the back of this form or an attachment to provide a brief description of your problem. Letter of Authorization I hereby grant Congresswoman Marcy Kaptur, or any member of her Congressional Staff, the authority to obtain information form any agency necessary to complete this inquiry.  Please release any requested information to her office at the above address.  This authorization is revocable upon my written notification to Congresswoman Marcy Kaptur. Name Social Security Number Address CSA/F, VA, WC Claim Number (if applicable) City, State, Zip code Date of Birth Telephone Today's Date _________________________________________ Signature Please use the back of this form or an attachment to provide a description of your problem. Print this Page Please print out and mail to: Office of Congresswoman Marcy Kaptur One Maritime Plaza, Sixth Floor Toledo, OH 43604-1853	Online Request Forms Casework Flag Orders Grant Support Internships Military Academies Official Greetings Tours Congressional Art Competition