Congresswoman Martha Roby

Representing the 2nd District of Alabama

Agency Help

If you can't get an answer from a federal agency in a timely fashion, or if you feel you have been treated unfairly, my office may be able to help you resolve a problem or get you the information you need. While I cannot guarantee a favorable outcome, I will do my best to help you receive a fair and timely response.

Residents of Alabama's Second Congressional District can contact me 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 mail to my office.

Please include all pertinent information and claim numbers in your correspondence including:

  • 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 and their staff have written authorization before they can obtain information about an individual's case.
I must have your signature to proceed with this type of request.


Authorization Form

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. Print and mail, 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 Martha Roby authority to act on my behalf.

  marks required fields of data.

Your Information
Telephone

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.

Print This Form

Use the Generate Request for Review button to produce the document to authorize my office to help you. Print, sign, and mail, fax, or hand deliver it to the address shown on the document. Please include any other documents or material that you think my office will need in order to assist you.