Help with a Federal Agency

Navigating federal agencies can be a challenging task. My staff and I are here to assist Hoosiers who have not received an answer from these agencies, are struggling to receive a benefit, or have questions about a program or process. Fill out the form below to get started.

What we can do:

Submit an inquiry with a federal agency on your behalf
Help you communicate with federal agencies
Request information or a status report on your case
Guide you in the benefits claim process
Help you obtain basic information from a federal agency

What we cannot do:

Force a federal agency to act in your favor or overturn a decision
Provide legal advice or recommend an attorney
Overturn or influence matters involving private businesses
Intervene on state and local issues
Intervene with judicial issues
Interact with private companies on your behalf

*For assistance with state issues, please visit https://iga.in.gov/information/find-legislators

"*" indicates required fields

How can I assist you?

Issue*

Your Information

Prefix*

First Name*

Middle

Last Name*

Date of Birth*

Address*

Street Address Address Line 2 City State ZIP Code

Social Security Number*

Phone Number*

Alternate Phone Number

Have you contacted another Congressional office regarding this matter?*

Which Office?

When?

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OFFICE OF PERSONNEL MANAGEMENT

Case Information

Annuitant Claim Number

Claim Type

Description of Request (Max 1000 Characters)

The Federal Privacy Act of 1974 (Public Law 93-579) prohibits the disclosure by federal agencies of confidential information concerning your affairs without your written authorization. In order to properly assist you, please click the Download Privacy Release Form button below to create a PDF with your information.

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Federal Marketplace Health Insurance

Case Information

Marketplace ID Number

Name of Plan you are enrolled in

Which Government Agency (or Agencies) have you been working with?

Claim Number (if available)

Description of Request (Max 1000 Characters)

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Housing

Case Information

Have you contacted a HUD-approved counseling agency, nonprofit or other third party?

Name of Agency

When Did You Contact the Agency?

Other Agency

Did You Pay a Fee?

Name of Lender/Servicer

Loan Number

Are You In A Foreclosure?

Date of Foreclosure

Are You In A Court Remediation?

Are You Seeking A Mortgage Modification?

Have You Contacted Any State Agencies?

Name Of Investor Of Loan

State Agency you have been working with

Associated Account Number

All Names Associated With The Account*

First Name

Last Name

Date of Birth (mm/dd/yyyy)

Description Of Request (Max 1000 Characters)

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Immigration or Visa

Please Select one of the following

Type Of Visa*

Applicant Information

Beneficiary Information

Same information as above

First Name of Applicant*

Middle Name of Applicant

Last Name of Applicant*

Date of Birth of Applicant*

Gender of Applicant*

Country of Origin of Applicant*

Alien Registration Number

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Immigration/Visa - Citizenship

Case Information

USCIS Receipt Number*

Date when you applied*

Date of Interview*

Description of Request (Max 1000 Characters)

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Immigration/Visa - Visa

Case Information

U.S. Embassy or Consulate Abroad*

Reason for travel to the United States*

Has applicant ever applied for an immigrant visa, green card or citizenship?*

Has applicant ever been previously denied a visa to the United States?*

Description of Request (Max 1000 Characters)*

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Immigration/Visa - Immigration

Case Information

USCIS Form Type*

USCIS Receipt Number*

Underlying Petition?*

Date when you applied*

Date of Interview*

Description of Request (Max 1000 Characters)*

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Labor and Employment

Case Information

Which Government agency have you been working with?

Claim or Case Number

Please Specify

Description of Request (Max 1000 Characters)

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Medicare

Subscriber Info

Name Autofill

Same information as above

First Name of Subscriber

Middle Name of Subscriber

Last Name of Subscriber

Date of Birth

Gender of Subscriber

Member ID Number

Case Information

Description of Request (Max 1000 Characters)

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Military Assistance

Case Information

Are You A Veteran?

Veteran's Name

Are You the widow or widower of a combat veteran?

Date of Birth of Veteran

Date of Service

VA Claim Number

Home State of Record

Working with a Veterans Service Organization (VSO)?

Do you have a copy of your discharge papers?

Name

Phone Number

Branch of Service

Description of Request (Max 1000 Characters)

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Passport

Applicant Info

Name autofill

Same information as above

First Name of Applicant

Middle Name of Applicant

Last Name of Applicant

Date of Birth of Applicant

Gender of Applicant

Country of Origin of Applicant

Case Information

Date when you applied for U.S. passport

Date of travel*

Passport Application Number

Have you been issued a U.S. Passport before?

Description of Request (Max 1000 Characters)

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Social Security

Applicant Info

Name autofill

Same information as above

First Name of Applicant

Middle Name of Applicant

Last Name of Applicant

Date of Birth of Applicant

Gender of Applicant

Case Information

Description of Request (Max 1000 Characters)

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Small Business Administration

Case Information

Company Name

Social Security Number

Date of Birth

SBA Application Number

Loan Number

Description of Request (Max 1000 Characters)

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Student Loans

Case Information

Student Loan Number

Lender Information

Description of Request (Max 1000 Characters)

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Taxes/IRS

Case Information

Are you Filing Jointly?

Name of Joint Filer

Joint Filer Social Security Number

Joint Filer Date of Birth

Type of Return

Tax Year

Filing Method

Date of Filing

Tax ID Number(Only if different than SSN)

Business Name, If Applicable

EIN

Description of Request (Max 1000 Characters)

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U.S. Post Office

Case Information

Tracking Number

Date Item Shipped

Date Item was to be Delivered

Location of relevant post office

Description of Request (Max 1000 Characters)

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Veterans Affairs

Case Information

Are You A Veteran?

Veteran's Name

Are You the widow or widower of a combat veteran?

Date of Birth of Veteran

Date of Service

VA Claim Number

Home State of Record

Working with a Veterans Service Organization (VSO)?

Do you have a copy of your discharge papers?

Name

Phone Number

Branch of Service

Description of Request (Max 1000 Characters)

Hidden

Other

Case Information

Name of Agency

Reference #

Description of Request (Max 1000 Characters)

Help with a Federal Agency

How can I assist you?

Your Information

OFFICE OF PERSONNEL MANAGEMENT

Case Information

Federal Marketplace Health Insurance

Case Information

Housing

Case Information

Immigration or Visa

Applicant Information

Beneficiary Information

Immigration/Visa - Citizenship

Case Information

Immigration/Visa - Visa

Case Information

Immigration/Visa - Immigration

Case Information

Labor and Employment

Case Information

Medicare

Subscriber Info

Case Information

Military Assistance

Case Information

Passport

Applicant Info

Case Information

Social Security

Applicant Info

Case Information

Small Business Administration

Case Information

Student Loans

Case Information

Taxes/IRS

Case Information

U.S. Post Office

Case Information

Veterans Affairs

Case Information

Other

Case Information

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Priorities

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