Residents of the 16th Congressional District of Ohio can contact me for assistance in dealing with Federal agencies. In order to better serve you, this form will generate a printable page that you should sign and mail to my district office in Canton at 300 W Tuscarawas Street, Suite 716, Canton, Ohio 44702. You  may also fax the form to my district office in order to expedite the process at 330-489-4448.

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.;
• 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 related documents or correspondence that you may have from the agency involved.

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.

Authorization Form