To begin having your case processed, please complete all of the information below. Service request forms must be signed by the individual seeking assistance:
In order to better serve you, this form will generate a printable page that you should sign and mail to our office.
Please include all pertinent information and claim numbers in your correspondence—such as:
- Your Date of Birth;
- Alien Registration#:;
- USCIS Receipt#:;
- 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;
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.
This is a three step process. Step one is to fill in the form with the required data, then click the "Generate Request for Review" button at the bottom of the page. Once reviewed, print and mail, fax, or hand deliver the document to our office. The address and fax number are on the generated page.