Casework

My office is here to work for you. If you are a resident of the 3rd Congressional District of Alabama, and you need assistance in dealing with a Federal agency, please contact any of my offices.

If you prefer to mail your correspondence, please complete, print out, and mail the Casework Authorization Form below. 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 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.

Download the PDF versions here.

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

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

Casework Authorization Form

Full Name: *

Agency Involved: *

Numbers Identifying Case: (OWCP no., USCIS receipt no., VA claim, Alien no., Tax ID, etc.) *

Date of Birth: (MM/DD/YYYY) *

Social Security Number:

Mailing Address: *

Address, line 2:

City: *

State: *

Zip: *

County: *

Phone Number:

Nature of Problem:

Military Problem: Please include your home of record, the branch of service in which you serve, your company, your commanding officer's name and steps you have taken to resolve the problem on your own.

IRS Problem: Please include the tax year.

Print This Form

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