Help with Federal Agency

If you can't get an answer from a federal agency in a timely fashion, or if you feel you have been treated unfairly, my office may be able to help resolve a problem or get you the information you need. While we cannot guarantee you a favorable outcome, we will do our best to help you receive a fair and timely response to your problem.

Instructions

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.

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: If your request is in regards to a problem with the Internal Revenue Service, please also print and fill out this form.

In order to better serve you, this form will generate a printable page that you should sign and mail to my office:

* indicates required field.

Your Information

Prefix:

First Name:*

MI:

Last Name:*

Suffix:

Street Address:*

Street Address Continued:

City:*

State:*

Zip Code:*

+4 Extension:

Email:*

Phone Number:*

Alternate Phone Number:

Date of Birth:*

Social Security Number:

Branch of Service: (If Applicable)

Military Rank: (If Applicable)

Request Details

Agency(s) involved:*

Agency case number(s):* (if there is no case number, indicate "None")

Please Explain the problem: *

What is the current status of the problem?

What has the federal agency told you?

Have you contacted any other office for assistance? If yes, which office?

How would you like my office to help you?*

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.

HIDDEN_WEBSITE_VARIABLES

How to use: Insert <span class="EXACT_VALUE_LABEL_AS_ENTERED_BELOW"> </span> where you'd like the value to be populated.

Non-breaking space within span tags -   - is required for WYSIWYG.

Label (no spaces or special characters)	Value	Comments (optional)
repName	U.S. Representative Steve Daines
helpWithFedAgencyAddress	222 N. 32nd Street, Suite 900 Billings, MT 59101
district	Montana At-Large
academyUSCitizenDate	July 1, 2014
academyAgeDate	July 1, 2014
academyApplicationDueDate	October 31, 2014
repStateABBR	MT
repDistrict	1
repState	Montana
repDistrictText	1st
repPhoto
SponsoredBills	Sponsored Bills
CoSponsoredBills	Co-Sponsored Bills
AcademyNominationsAddress	104 2nd St. S Suite 103 Great Falls, MT 59401

Office Locations Push

	Location	Image	Map URL
Washington DC Office	Washington DC 206 Cannon House Office Building Washington, DC 20515 Phone: (202) 225-3211 Fax: (202) 225-5687		http://goo.gl/maps/b7WVI
Billings Office	Billings District Office 222 North 32nd Street, Suite 900 Billings, MT 59101 Phone: (406) 969-1736 Fax: (406)702-1182		http://goo.gl/maps/keRo6
Helena Office	Helena District Office 910 N. Last Chance Gulch, Suite B Helena, MT 59601 Phone: (406) 502-1435 Fax: (406)502-1436		http://goo.gl/maps/lBHhz
Missoula Office	Missoula District Office 110 West Front Street Missoula, MT 59802 Phone: (406) 926-2122 Fax: (406) 926-2125		http://goo.gl/maps/5tQer
Great Falls Office	Great Falls District Office 104 2nd St. S, Suite 103 Great Falls, MT 59401 Phone: (406) 315-3860 Fax: (406) 315-3862		http://goo.gl/maps/M1blo