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Help with a Federal Agency

Residents of the 15th Congressional District of New York 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 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.

In order to better serve you, this form will allow you to go to a printable page that should be mailed to the office for processing.

If you are a constituent experiencing problems in dealing with a federal agency, complete and mail the following form to our New York office so that we may look into the matter. All correspondences and phone calls pertaining to casework should be directed to the district office and not our Washington office.

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

* marks required fields of data.

In accordance with the Privacy Act of 1974, I give Congressman Charles B. Rangel authority to act on my behalf.

 
 
 
 
 
 
 
 
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Print This Form

Use the Generate Request button to produce the document to authorize my office to help you. Then sign it and mail it to the address shown on the document. Please include any other documents or material that you think would help my office help you.

 

 

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