Get Dc Request For Congressional Inquiry & Privacy Release_dsa

Filling out the DC Request for Congressional Inquiry & Privacy Release_DSA is an important step in allowing a congressional representative to assist you with inquiries to federal agencies. This guide provides clear instructions to help users complete the form accurately and efficiently online.

Follow the steps to correctly fill out the form

1. Press the ‘Get Form’ button to access the DC Request for Congressional Inquiry & Privacy Release_DSA and open it in an online editor.
2. Begin by providing your written authorization for U.S. Representative Louie Gohmert or a member of their staff to act on your behalf. Ensure to sign and date the form.
3. Print your name clearly in the designated area, providing your first, middle, and last names.
4. Fill in your physical and mailing addresses accurately, including city, state, zip code, and county.
5. Enter your contact numbers: home, cell, work, and also include your email address.
6. Provide your social security number (SSN), VA, Alien ID, or any other claim number as applicable.
7. Complete your date of birth and country of birth.
8. Indicate if you have opened a case with another office and specify which office if applicable.
9. Select all relevant federal agencies pertaining to your inquiry from the list provided.
10. State the date of your initial contact with the agency and provide details on your SSA, VA, or immigration benefit application status.
11. Note the current status of your case (pending, appeal, denied), along with your receipt number.
12. If you are working with a U.S. Embassy, indicate which embassy is handling your case.
13. Briefly describe your situation, using additional paper if necessary, and clearly state the desired outcome.
14. List any individuals other than yourself with whom you would like the office to discuss your case.
15. Review the completed form for accuracy. Once satisfied, you can save changes, download, print, or share the completed form as needed.

Complete your DC Request for Congressional Inquiry & Privacy Release_DSA online to seek assistance effectively.