Agency Help

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 Representative Lee Zeldin authority to act on my behalf.

* marks required fields of data.

Your Information

Today's Date: *

Full Name: *

Street Address: *

City: *

State: *

ZIP Code: *

Email: *

Phone Number / Type: *

What are these options?
Constituents who are hard of hearing or use a video phone have the option to choose TDD or VP based on the type of device they are using. This allows our office to respond to them accordingly. The default option "Voice" is a standard audible telephone.

Social Security Number: Please do not include your social security number if your case inquiry is immigration-related. This form requires you to print, sign and mail, fax, or hand deliver the signed document. Your social security number will not be transmitted electronically.

Date of Birth: *

Agency/Military Information

Agency Involved: *

Agency case number(s) or ("None") *

Branch of Service: (If Applicable)

Military Rank: (If Applicable)

Immigration-related Information

U.S. Citizenship and Immigration Services Alien #:

U.S. Citizenship and Immigration Services Form #:

U.S. Citizenship and Immigration Services Receipt #:

Place of Birth (City, Country)

Please Explain the Problem: *

Print This Form

Use the "Generate Request for Review" button below to produce the document to authorize our office to help you. Print, sign, and mail, fax, or hand deliver it to the address shown on the document. Please include any other documents or material that you think would help our office help you.

Agency Help

Please Note:

Authorization Form

Print This Form

Contact Us

Washington, DC Office

Main District Office

East End Office