Help with a Federal Agency

There are times when constituents have difficulty getting answers from federal agencies.  As the Congressman representing the Fourth District of Oklahoma, my office is here to serve constituents and can assist by contacting an agency on your behalf. Although we cannot guarantee the outcome of an inquiry, we will do our best in helping you receive a timely response to your request.

In order to help you with federal agency issues, the law requires that we have a privacy release from you.  Once my office has received your completed release form, we will inquire to the agency on your behalf.  If you are a resident of the Fourth District and need assistance, we encourage you to use the form below. Once completed, the form will generate a printable page that you must print and sign, then mail or fax to my office to begin the process. 

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.

Authorization Form

* indicates information that you need to provide.

In accordance with the Privacy Act of 1974, I give Congressman Tom Cole authority to act on my behalf.

Your Information
: *
: *
: (If Applicable)
: (If Applicable)
: (if there is no case number, indicate "None") *
: *
: *
: *
: *
: *
: *
:
Telephone
*
Nature of Problem
: *

Print This Form

Use the Generate Request button to produce the document to authorize my office to help you. Then sign it and mail it to the address shown on the document. Please include any other documents or material that you think would help my office help you.