Help with a Federal Agency

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 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 1st Congressional District of Rhode Island can contact me for assistance in dealing with Federal agencies. To start this process, my office will need your written authorization, which can be provided through one of the following options of your choosing:

Option 1: Using the following link, you can complete and digitally sign a privacy authorization form, and attach any necessary information or additional documents: Digital Privacy Release Form.

Option 2: Complete the fields in the Authorization Form below and generate a printable page that you can sign and return via fax at 401-729-5608 or by US Mail at Office of Congressman David Cicilline, 1070 Main Street, Suite 300, Pawtucket, RI 02860.

Please include all pertinent information and claim numbers in your correspondence—such as:

  • A detailed description of the issue you are experiencing;
  • 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;
  • Social Security number (if applicable);
  • VA claim number for a case with Department of Veterans Affairs (if applicable);
  • Taxpayer Identification Number (Social Security number, if individual) for an Internal Revenue Service problem (if applicable);
  • Medicare Beneficiary Identifiers, for transactions involving Medicare (if applicable)

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 David Cicilline authority to act on my behalf.

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