Contact Button

Email Updates

  • Email Updates

    Enter your Email and click submit to
    receive email alerts on issues affecting you

Help With Federal Agency

Residents of the 19th Congressional District of New York can contact me for assistance in dealing with federal agencies. Although I cannot override the decisions made by a federal agency, I can often intervene on a person's behalf to answer questions, find solutions, and just cut through the red tape. Below you will find a list of agencies.  However, regardless of which agency you need help with, I need a completed privacy authorization form to comply with the provisions of the Privacy Act. Please download this printable version of the privacy authorization form and then fax or mail it to our nearest 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.;
  • 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 on this privacy form to proceed with this type of request.

Rep. Hayworth Privacy Release Form ( 03/31/11 02:06 PM PST )