Constituent Testimonials

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Help with Federal Agency (Print)

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;

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


Request Details

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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    Value

    		 Comments (optional)
    repName Doug Collins  
    helpWithFedAgencyAddress Gainesville District Office
    111 Green St. E
    Gainesville, GA 30501    		  
    district 9th District of Georgia  
    academyUSCitizenDate July 1, 2013  
    academyAgeDate July 1, 2013  
    academyApplicationDueDate October 20, 2013  
    repStateABBR GA  
    repDistrict 9  
    repState Georgia  
    repDistrictText 9th  
    repPhoto  
    SponsoredBills    
    CoSponsoredBills Co-Sponsored Bills  
         
         
         
         
         

  • Office Locations

    Office Name Location Image Map URL
    Washington DC 513 Cannon H. O. B.
    Washington, DC 20515
    Phone: (202) 225-9893
    Fax: (202) 226-1224
    Hours: M-F 9-5:30pm    		 http://goo.gl/maps/8RptH
    Gainesville 111 Green St. SE
    Gainesville, GA 30501
    Phone: (770) 297-3388
    Fax: (770) 297-3390
    Toll-Free Number: (855) 821-3405    		 http://goo.gl/maps/S6e3Y