If you can't get an answer from a federal agency in a timely fashion, or if you feel you have been treated unfairly, our 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 6th Congressional District of Georgia can contact my office for assistance in dealing with federal agencies. In order to better serve you, this form will generate a printable page that you should sign and submit to our office.

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. You will review, print, and sign the document after it's generated from the information you enter below.

Please see below for two different types of privacy release forms. See the first section for USCIS; see the second section for all other inquiries.

United States Citizenship and Immigration Services

If you need help with U.S. Citizenship and Immigration services please fill out this form.

Help with All Other Federal Agencies

Authorization Form

Note: Fields marked with an * are required.

This is a three step process:

  1. Fill in the form with the required data, then click the “Generate Request for Review” button at the bottom of the page.
  2. Review the form to ensure all data is accurate, then sign the form.
  3. Sign and scan, fax, or hand deliver the document to our office.  The address and fax number are on the generated page.

In accordance with the Privacy Act of 1974, I give Representative Lucy McBath authority to act on my behalf.

Your Information

What are these options?

Constituents who are hard of hearing or use a video phone have the option to choose TDD or VP based on the type of device they are using. This allows our office to respond to them accordingly. The default option "Voice" is a standard audible telephone.

Please write your Social Security Number on the form after it has been printed. You must include your Social Security Number for all case with the Social Security Administration.

For issues with other agencies, you do not have to include your Social Security Number.

Agency/Military Information
Immigration-related Information
Problem Information

Print This Form

Use the "Submit" button below to produce the document to authorize our office to help you. Print, sign, and fax it to (202) 225-4656 or scan then email it to casework.mcbath@mail.house.gov. Please include any other documents or material that you think would help our office help you.

Human Validation