Casework Form

Federal Agencies—Getting Help

Residents of the 4th Congressional District of California 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.

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 send the form to: Office of Congressman Tom McClintock, 8700 Auburn-Folsom Road, Suite 100, Granite Bay, CA 95746
 


Authorization Form

In accordance with the Privacy Act of 1974, I give CongressmanTom McClintockauthority to act on my behalf.

 
, , ,
Work Phone
Cell
Fax
Email
Yes    
  
  

Print and Sign

Click on the "Generate Authorization" button above to produce the printable 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.

PDF Version of the Authorization Form

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The foreign threats to our nation's strength and security abound, but they at least have the advantage of being clearly defined - indeed, they declare themselves at every opportunity. We should also recognize that we face domestic threats of our own making that are not as dramatic - but are potentially far more dangerous.

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Last night, the President asserted a power to nullify existing immigration law by ordering the executive branch to ignore it.

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Upcoming Events

Staff Satellite Office Hours

Office staff members are available to assist constituents with problems or concerns at satellite office locations held throughout the district.  Anyone wishing to discuss an issue of federal concern is invited to attend one of these satellite office sessions and speak with a member of staff.  For more information, or to reach staff, please call the district office at 916-786-5560.
  
Upcoming Staff Satellite Office Hours for December:
 
Amador County
 
Jackson 
Tuesday, December 9th
9:30 am - 11:30 am
Conference Room D
County Administration Center
810 Court Street
 
Calaveras County
 
San Andreas 
Tuesday, December 16th
9:30 am - 11:30 am
Calaveras County Water Agency Conference Room
120 Toma Court 
 
El Dorado County 
 
Camino
Thursday, December 11th
9:00 am - 11:00 am
Camino Pollock Pines Chamber of Commerce
4123 Carson Road
 
El Dorado Hills 
Thursday, December 11th
12:00 pm - 2:00 pm
El Dorado Hills Chamber of Commerce
2085 Vine Street, #105 
 
Madera County 
 
Oakhurst
Thursday, December 4th
10:00 am - 12:00 pm
Yosemite Visitor Bureau Conference Room
40637 Highway 41 
 
Placer County
 
Auburn
Wednesday, December 3rd
9:00 am - 11:00 am
Auburn City Hall
The Rose Room
1225 Lincoln Way 
 
Lincoln 
Tuesday, December 2nd
3:00 pm - 5:00 pm
Lincoln City Hall
600 6th Street 
 
Tuolumne County 
 
Sonora 
Tuesday, December 16th
1:00 pm - 3:00 pm
Small Business Center Conference Room
99 North Washington St 
 
 
For further information on staff satellite office hours, please call 916-786-5560.