If you can't get an answer from a federal agency in a timely fashion, or if you feel you have been treated unfairly, our 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.

This type of request is a three step process.  Please complete as many fields in the form below as possible, required fields are noted. In the second step you will be asked for your date of birth and social security number.  In the third step you will be asked to print the generated form and mail or fax it to our office.

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

In accordance with the Privacy Act of 1974, I give Congresswoman Bonnie Watson Coleman authority to act on my behalf.

Your Information
Today's Date:
* Prefix:
* First Name:
* Last Name:
* Street Address:
* City:
* State:
* Zip:
* Phone Number:
* Email:
* Date of Birth:
* Social Security Number:
Case Information
* Agency Involved:
* Agency Case Number(s): (if there is no case number, indicate "None")
Branch of Service: (if applicable)
Military Rank: (if applicable)
* Nature of Problem
 

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.