Congressman José E. Serrano

Representing the 15th District of New York

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, 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.

Residents of the 15th Congressional District of New York can contact me 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 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. Please fill out and submit the Authorization Form below. You must also sign and mail it to the address shown on the document after you generate the request online.

Additional Form For immigration Cases
In certain immigration cases, an written release (known as a USCIS PRF) is required before the U.S. Citizenship and Immigration Services (USCIS) can release case-specific information to Members of Congress and their staff. If you need help with an immigration case, please make sure to fill out and submit this form as well. You can download the form HERE.

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Favor de Notar:

La Ley de Privacidad de 1974 (5 U.S.C. § 552a) requiere que los miembros del Congreso o sus empleados tengan autorización por escrito antes de poder obtener información sobre el caso de individuos. Por favor llene todos los encasillados y envíe el Formulario de Autorización al final de esta página. También debe firmar y enviar por correo el documento a la dirección postal que aparecerá en el mismo después de generar la solicitud en línea.

Formulario Adicional para Casos de Inmigración
En ciertos casos de inmigración, se requiere una autorización por escrito (conocida como USCIS PRF por sus siglas en ingles) antes de que Servicios de Ciudadanía e Inmigración de los Estados Unidos (USCIS) pueda divulgar información específica del caso a los miembros del Congreso y sus empleados. Si necesita ayuda con un caso de inmigración, asegúrese de completar y enviar este formulario también. Puede descargar el formulario AQUÍ.


Authorization Form

*indicates information that you need to provide.

In accordance with the Privacy Act of 1974, I give Congressman Jose Serrano authority to act on my behalf.

Your Information
Telephone
 
 

What are these options?
This is to help the constituents that are hard of hearing or use a video phone alert us to that fact so we can use the proper technology when we need to call them. The default option “Voice” is a normal audible telephone.

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.