Help with a Federal Agency

If you are experiencing difficulty with a federal agency, or you feel you have been treated unfairly, my office may be able to help. While we cannot guarantee a favorable outcome, we will do our best to obtain a timely response to your inquiry or resolution to your problem.

This service is available to residents of the 16th Congressional District of Pennsylvania. Before we can help, we need your permission. The form below will authorize me to contact an agency on your behalf. This form will generate a printable page that you will sign and mail to my 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 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. § 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 Mike Kelly authority to act on my behalf.

Your Information
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: *
: *
: (if there is no case number, indicate "None")
: (If Applicable)
: (If Applicable)
: *
:
: *
: *
: *
: *


Telephone
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Nature of Problem
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