Help with a 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, your 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 Northern Mariana Islands 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 send to your congressional 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 mailing address, home phone number and daytime phone number (if different than home), and email address 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.


Authorization Form

* indicates information that you need to provide.

In accordance with the Privacy Act of 1974, I give Congressman Gregorio Kilili Camacho Sablan authority to act on my behalf.

Your Information
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: *
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: (If Applicable)
: (If Applicable)
: (if there is no case number, indicate "None") *
: *
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Telephone
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Nature of Problem
: *
Authorize

To Print This Form

Use the Generate Request button to produce the document to authorize your congressional office to help you. Then print and sign the document and email, fax, or mail it using the information shown on the document. Please include any other documents or material that you think would help your congressional office help you.