Privacy Act Waiver
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.
Residents of the 7th Congressional District of GA can contact us for assistance in dealing with Federal agencies. In order to better serve you, this form will generate a printable page that you should sign and mail to our 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;
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.
If you are seeking assistance with the U.S. Department of Homeland Security or the U.S. Department of State, please click here to download the form. For all other federal agencies, please click here to download the form.
Once you have determined which form is appropriate for your case, please complete the form in its entirety by either typing in the information or by printing the form off and filling in the appropriate information by hand. Once completed, print and mail, fax, or hand deliver the document to our office. The address and fax number are on the bottom of the form.