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Congressman Brad Schneider

Representing the 10th District of Illinois

Constituent Services

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.

Residents of the 10th Congressional District of Illinois can contact me for assistance in dealing with Federal agencies. In order to better serve you, the form below will generate a printable page that you should print, sign and mail to my office.  

For help with an immigration related issue, please use our Immigration Privacy Release form.

To download and print a blank version of the Privary Release Form below, please click here. 

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.

Privacy Release Form 

* indicates information that you need to provide.

In accordance with the Privacy Act of 1974, I give Congressman Brad Schneider authority to act on my behalf.

Your Information
Telephone
 

What are these options?
This is to help the constituents who are hard of hearing or use a video phone alert us to that fact so we can use the proper technology when we need to call them. The default option “Voice” is a normal audible telephone.

Short Explanation of Problem

Print This Form

Use the Generate Request button to produce the document to authorize my office to help you. Please return this completed form, with signature and all relevant documents by fax, mailing to the address below or scanning and emailing the completed form to IL10.Casework@mail.house.gov