Help with a Federal Agency

If you cannot 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 the problem or get you the information you need. While I cannot guarantee you a favorable outcome, my staff will do its best to help you receive a fair and timely response to your problem.

For more information, please review my page of Frequently Asked Questions: Help With a Federal Agency.

In order to better serve you, this form will generate a printable page that you should sign and mail, or fax, in to my office closest to you.

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. ยง 552a) requires that Members of Congress or their staff have written authorization before they can obtain information about an individual's case.

My staff must have your signature to proceed with this type of request.


Constituent Authorization Form

* Indicates information that you need to provide.

In accordance with the Privacy Act of 1974, I give Congresswoman Lois Capps authority to act on my behalf.

Your Information
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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
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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 district office closest to you. Please include any other documents or material that you think would help my office help you.


Other Forms

Social Security Inquiry Form
Immigration Inquiry Form
IRS Information Authorization Form

Federal Agency Websites