The Social Security Administration (SSA) provides benefits and services to people of retirement age and to individuals with disabilities that prevent them from working. Supplemental Security Income benefits are based on financial need, and Social Security Disability benefits are determined through an established eligibility process. If you are having a problem with your Social Security benefits or any other issue related to the SSA, please contact my office.
If you are experiencing an issue with a federal government agency, please complete, print, and sign the Privacy Act waiver. You may fax or mail the completed form with any supporting documentation to my office location that serves your area.
If you have any questions, please call my Washington, D.C. office at 202-224-6253.
- General Privacy Release Form - Use this form for all agencies other than the United States Citizenship and Immigration Services (USCIS) or the Internal Revenue Service (IRS). Privacy-Release-Form.pdf (7.1 KBs)