Help with 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, 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:
Rep. Ben Ray Luján
1611 Calle Lorca, Suite A
Santa Fe, NM 87505

* 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.

  • HIDDEN_WEBSITE_VARIABLES

    How to use: Insert <span class="EXACT_VALUE_LABEL_AS_ENTERED_BELOW">&nbsp;</span> where you'd like the value to be populated.

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    Label
    (no spaces or special characters)

    Value

    		 Comments (optional)
    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 D.C.

    2231 Rayburn HOB
    Washington, D.C. 20515
    Ph: (202) 225-6190
    Fax: (202) 226-1528

    		 http://goo.gl/maps/eSBHB
    Santa Fe Office
    1611 Calle Lorca, Suite A
    Santa Fe, NM 87505
    Ph: (505) 984-8950
    Fax: (505) 986-5047    		 https://goo.gl/maps/6sWMU
    Rio Rancho Office
    3200 Civic Center NE Suite 330
    Rio Rancho, NM 87144
    Ph: (505) 994-0499
    Fax: (505) 994-0550    		 http://goo.gl/maps/aDa0m
    Farmington Office 800 Municipal Dr.
    Farmington, NM 87401
    Ph: (505) 324-1005
    Fax: (505) 324-1026    		 http://goo.gl/maps/eZ729
    Gallup Office 110 West Aztec Avenue
    Gallup, NM 87301
    Ph: (505) 863-0582
    Fax: (505) 863-0678    		  
    Las VegasOffice 110 West Aztec Avenue
    Gallup, NM 87301
    Ph: (505) 863-0582
    Fax: (505) 863-0678    		  
    Tucumcari Office 110 West Aztec Avenue
    Gallup, NM 87301
    Ph: (505) 863-0582
    Fax: (505) 863-0678