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Casework

Residents of Hawaii’s 1st Congressional District can contact me for assistance in dealing with federal agencies. In order to better serve you, there is a downloadable Request for Assistance with Federal Agency form below.

Please fill it out completely, print, sign, and fax or mail it to my District 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. Please be sure to include 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 documents or correspondence that you may have from the agency involved may also be helpful.

PLEASE NOTE: The Privacy Act of 1974 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 a casework inquiry.

Because of the large volume of inquires, I must give priority to requests from residents of the First Congressional District of Hawaii.

Casework Authorization Form

In order to proceed with the casework inquiry, you must include your signature in the first paragraph below.

I, , authorize Congressman Neil Abercrombie, United States Representative, to request and have access to all records and reports pertinent to my request for his assistance in the following matter:

In accordance with the Privacy Act of 1974 (5 U.S.C. § 552a), I give Congressman Neil Abercrombie authority to act on my behalf.

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Social Security Number 

Print This Form

You can print and sign this form after you click the Print Preview button. The address information is located on this page and also on the print preview page.

  

 
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