Help With A Federal Agency | Services | U.S. Congressman Jake Auchincloss Of Massachusetts 4th District

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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.</p> <p>Residents of the Fourth Congressional District of Massachusetts can contact us for assistance in dealing with Federal agencies. In order to better serve you, this form will generate a printable pdf document that you should sign and mail, fax, or deliver in person to our office.</p> <p>Please include <strong>all</strong> pertinent information and claim numbers in your correspondence—such as:</p> <ul> <li>Your Social Security number for a case involving Social Security;</li> <li>VA claim number for a case with Department of Veterans Affairs;</li> <li>Taxpayer identification number (Social Security number, if individual) for an Internal Revenue Service problem, etc.;</li> <li>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;</li> <li>Copies of any related documents or correspondence that you may have from the agency involved;</li> <li><span style="background-color: #f1c40f;"><strong>For all passport inquiries, you must select Department of State as the agency involved and include a PDF copy of your travel itinerary or flight confirmation;</strong></span></li> </ul> <p><strong>Please Note:</strong></p> <p>The <cite>Privacy Act of 1974 (<a title="title 5, section 552a of the United States Code" href="https://uscode.house.gov/view.xhtml?req=(title:5%20section:552a%20edition:prelim)" target="_blank" rel="noopener">5 U.S.C. § 552a</a>)</cite> requires that Members of Congress or their staff have written authorization before they can obtain information about an individual's case. <strong>We must have your signature to proceed with this type of request</strong>. You will review, print, and sign the document after it's generated from the information you enter below.</p> <p><strong><span style="background-color: #f1c40f;">If you live in Freetown, you will be prompted to select either Assonet or East Freetown as your Town. Please ensure that your zip code is accurate.</span><br /><br /></strong></p> <div class="h4"><a href="https://digitalprf.house.gov/ReleaseForm?id=MA04" target="_blank" rel="noopener">SUBMIT YOUR CASEWORK REQUEST HERE</a></div> </div> </div> </div> </div> </div> <footer class="footer text-center"> <div class="container"> <ul class="list-unstyled"> <li class="list-inline-item"> <a href="/about">About</a> </li> <li class="list-inline-item"> <a href="/services">Services</a> </li> <li class="list-inline-item"> <a href="/media">Media</a> </li> <li class="list-inline-item"> <a href="/contact">Contact</a> </li> <li class="list-inline-item"> <a href="/privacy-policy">Privacy Policy</a> </li> </ul> <div class = "inline-item social__links social__links--bottom"> <ul class = "social-list list-inline list-unstyled"> <li class = "list-inline-item"><a class="facebook" aria-label="Facebook Logo" href= "https://www.facebook.com/RepAuchincloss" target = "_blank"><i class="fab fa-facebook"></i><span class="hidden">Facebook Logo</span></a></li> <li class = "list-inline-item"><a class="twitter" aria-label="Twitter Logo" href= "https://twitter.com/RepAuchincloss" target = "_blank"><i class="fab fa-twitter"></i><span class="hidden">Twitter Logo</span></a></li> <li class = "list-inline-item"><a class="instagram" aria-label="Instagram Logo" href= "https://www.instagram.com/" target = "_blank"><i class="fab fa-instagram"></i><span class="hidden">Instagram Logo</span></a></li> <li class = "list-inline-item"><a class="youtube" aria-label="Youtube Logo" href= "https://www.youtube.com/RepAuchincloss" target = "_blank"><i class="fab fa-youtube"></i><span class="hidden">Youtube Logo</span></a></li> </ul> </div> </div> </footer> <script> $(window).scroll(function() { var scroll = $(window).scrollTop(); 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var yt_players = []; function onYouTubePlayerAPIReady() { var carousel = $('.carousel'); if (carousel.length > 0) { carousel.on('slide', function() { if (typeof yt_players != 'undefined' && yt_players.constructor === Array && yt_players.length > 0) { yt_players.each(function(current) { if (application.fn.check(current.player) && typeof current.player.pauseVideo != 'undefined') { current.player.pauseVideo(); } }); } }); //$('.carousel').carousel('cycle'); } Array.each(yt_players, function(video) { video.target.innerHTML = ""; video.player = new YT.Player(video.target, { width: video.width, height: video.height, videoId: video.id, playerVars: { controls: 1, showinfo: 0 , modestbranding: 1, wmode: "transparent" }, events: { 'onStateChange': function(event) { if (event.data == YT.PlayerState.PLAYING) { if (typeof _gaq != 'undefined') { _gaq.push(['_trackEvent', 'Video', 'Play', video.title ]); } //$('.carousel').carousel('pause'); carousel.each(function(index) { $(this).carousel('pause'); }); } else if (event.data == YT.PlayerState.PAUSED) { //if (typeof _gaq != 'undefined') { _gaq.push(['_trackEvent', 'Video', 'Pause', video.title ]); } //$('.carousel').carousel('cycle'); } else if (event.data == YT.PlayerState.ENDED) { if (typeof _gaq != 'undefined') { _gaq.push(['_trackEvent', 'Video', 'Complete', video.title ]); } //carousel.carousel('cycle'); carousel.each(function(index) { $(this).carousel('cycle'); }); } } } }); }); } $(function() { var tag = document.createElement('script'); tag.src = "//www.youtube.com/player_api"; var firstScriptTag = document.getElementsByTagName('script')[0]; firstScriptTag.parentNode.insertBefore(tag, firstScriptTag); }); function returnfalse() { return false } </script>  <script> $(function() { $('a').each(function() { var $this = $(this); var newWin = $this.hasClass('new-win'); var senExit = $this.hasClass('sen-exit'); if (newWin === true || senExit === true) { var href = $this.attr('href'); if (typeof href !== 'undefined' && href !== '') { if (href.indexOf('javascript:') === -1 && href.charAt(0) !== '#') { var uri = (senExit === true) ? 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Help With A Federal Agency | Services | U.S. Congressman Jake Auchincloss Of Massachusetts 4th District