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Casework Form

One of my most important duties as your representative in Congress is to assist you when dealing with federal agencies. This assistance is referred to as casework. My casework staff and I are ready to help you with federal agencies secure the services and benefits paid for by our tax dollars. If you haven’t done so already, please click here to learn how I can help you with a federal agency, what federal agencies I can help with, and how to open a case with my office.

If you have a question or concern regarding a state issue or legislation currently before the Georgia State House or State Senate, please click here to contact the appropriate state official or agency.

* indicates required information.

Your Information
Request Details

Note: An agency MUST be selected in order to send in an email. If you do not see the agency listed here, please contact my Newnan office at 770-683-2033 or review the Help with a Federal Agency page.

Please explain to me the issue you are currently facing with the federal agency and how you would like my office to assist you. The more information you can provide the better.

Once you select SUBMIT, you will still need to send all the relevant documents to my office, including the PRIVACY RELEASE FORM (HYPERLINK to PDF). I cannot begin contacting the federal agency until I have received this form.

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    repName John Smith  
    helpWithFedAgencyAddress Haverhill District Office
    1234 S. Courthouse
    Haverhill, CA 35602    		  
    district 21st District of California  
    academyUSCitizenDate July 1, 2012  
    academyAgeDate July 1, 2012  
    academyApplicationDueDate October 20, 2012  
    repStateABBR AZ  
    repDistrict 1  
    repState Arizona  
    repDistrictText 1st  
    repPhoto  
    SponsoredBills Sponsored Bills  
    CoSponsoredBills Co-Sponsored Bills  
         
         
         
         
         

  • Office Locations

    Office Name Location Image Map URL
    Washington DC 2202 Rayburn House Office
    Washington, DC 20515
    Phone: (202) 225-5901
    Fax: (202) 225-2515    		 http://goo.gl/maps/rqq9i
    District Office

    1601-B East Highway 34
    Newnan, GA 30625
    Phone: (770) 683-2033
    Fax:  (770) 683-2042