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For constituents who request help from a federal agency but do not receive an answer in a timely fashion or feel they have received unfair treatment, my office may be able to help resolve the issue. While this office cannot guarantee a favorable outcome in any interaction with an agency, my team is happy to help northeast Georgians receive fair and timely responses from federal agencies.

Instructions

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.

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 involving the Department of Veterans Affairs
  • Taxpayer identification number (Social Security Number, if individual) for a case involving the Internal Revenue Service
  • Your address, home phone number, and daytime phone number (if different than home) to help the office obtain any additional information that might be necessary
  • Copies of any related documents or correspondence that you may have from the agency involved

In order to better serve you, this form will generate a printable page that you should sign and mail to my office:

Representative Doug Collins
210 Washington St. NW, Suite 202
Gainesville, GA 30501

 

 

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Request Details
 
 
 
 

Print This Form

Use the "Generate Request" button to produce the document that authorizes my office to assist you. When you're finished, sign it and mail it to my Gainesville office. Please include any other documents or material that you think would assist my staff as they serve you.