Helping You

If you are having difficulty with a federal agency, such as the Social Security Administration, Citizenship and Immigration Services, the Department of Veterans Affairs, the Internal Revenue Service or any other federal government agency, Senator Schiff's office may be able to help.

Under the Privacy Act of 1974, Senator Schiff's office must obtain written authorization to assist you. To get started, please complete either the Casework Authorization Form or the USCIS Privacy Release Form as applicable (see below for details), include a true/wet signature, and submit the completed form by email to Senator Schiff's Office: Schiff_California@schiff.senate.gov or by fax (202)228-0026.

Help with US Citizenship and Immigration Services (USCIS)

If you are seeking assistance with the US Citizenship and Immigration Services (USCIS), please print and complete the USCIS Privacy Release form, include a true/wet signature, and email to Senator Schiff's Office: Schiff_California@schiff.senate.gov

USCIS FORM

Help with all other federal agencies

If you are seeking assistance with any other federal agency, please complete the Casework Authorization Form, include a true/wet signature, and email to Senator Schiff's Office: Schiff_California@schiff.senate.gov. You may either use the online form below to generate and print a completed form, or download a blank form to print and complete by hand.

GENERIC FORM

"*" indicates required fields

Your Information

Prefix*

First Name*

Middle Name

Last Name*

Suffix

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Enter Email Confirm Email

Phone Number*

Alternate Phone

Date of Birth*

Branch of Service (if applicable)

Military Rank (if applicable)

Military Service Start Date

Military Service End Date

Request Details

Agency or agencies involved*

Agency case number(s); if there is no case number, indicate "none"*

Please explain the problem

What is the current status of the problem?

What has the federal agency told you?

What is the resolution you are seeking?

Have you previously contacted our office regarding this matter?*

Yes

Have you appealed the agency decision in this matter?*

Yes

Are you represented by an attorney in this matter?*

Yes

If so, may we discuss this with your attorney?*

Yes

Does Not Apply

Senator Schiff and his staff may discuss my case with the following individuals (family members, friends, etc.):

Print This Form

Use the “Send” button to produce the document to authorize my office to help you. Please print, sign, date, and email it to Schiff_California@schiff.senate.gov. Please include any other documents or materials that you think would help my office help you.