Congresswoman Susan W. Brooks

Representing the 5th District of Indiana
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Help with a Federal Agency

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 5th Congressional District of Indiana can contact me for assistance in dealing with Federal agencies. To seek assistance, please download the form linked below and return it my office via fax or mail. 

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.
We must have your signature to proceed with this type of request.

To download the release form, please click here: PDF iconPrivacy Release Form.pdf. When finished please fax the form to 317-846-7306 or mail it to:

11611 N. Meridian Street
Suite 415
Carmel, IN 46032
 

If you are having trouble downloading the form, please click here to download Adobe Reader.