As your United States Senator, one of my highest priorities is making sure Michiganders receive all of the federal benefits and assistance to which they are entitled. I know these programs can often be complicated and difficult to navigate, which is why my staff and I are here to help.

How Can We Help?
If you are having trouble solving a problem with a federal agency, my office may be able to assist you. My staff have years of experience helping Michiganders navigate federal programs and cutting through red tape. And while we cannot guarantee a particular outcome, we can help you understand what is involved, inquire about the status of your case, and as appropriate, advocate for expedited resolution.

Request Assistance
To get help from a member of my staff, please use the below privacy release form. You are also welcome to call my office at (202) 224-4822. We encourage you to call if you have a time-sensitive issue.

Get a Referral
As a United States Senator, I am not able to intervene on state, local, or legal matters. For these issues, I encourage you to contact the appropriate state agency, elected official, or legal jurisdiction. Below are resources for looking up State of Michigan agencies, your Michigan State Representative, your Michigan State Senator, and legal resources.

If you don’t know who to call, you are welcome to call my office, and my staff can help provide you with the appropriate referral information.

Help With a Federal Agency Form (With Signature)

I hereby request the assistance of the Office of Senator Elissa Slotkin to resolve the matter described below. I authorize Senator Slotkin and her staff to recieve any information that they might need to provide this assistance

Your Information

prefix

firstName(Required)

lastName(Required)

suffix

streetAddress(Required)

streetAddress2

city(Required)

state(Required)

zipCode(Required)

mobilePhone(Required)

homePhone

preferredPhone

email(Required)

dateOfBirth(Required)

gender

militaryOrClergy

Are You a Member of The Military or Clergy?

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Military/Clergy

militaryOrClergyTitle

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Topic Choice

How Can I help?

issue(Required)

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Military Records and Medals

serviceName

placeOfbirth

component

branch

dateEntered

dateReleased

officerEnlisted

serviceNumber

DODID_EDIPI

lastDutyStation

deceasedAndDateofDeath

VAClaim

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Immigration

Applicant or Petitioner?(Required)

Applicant

Petitioner for a beneficiary

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Immigration Choice is made

Applicant Information:

N/A should be used in required fields that are not applicable to your situation.

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Beneficiary

Beneficiary Information:

N/A should be used in required fields that are not applicable to your situation.

beneficiaryfirstName(Required)

beneficiarylastName(Required)

beneficiarydob(Required)

beneficiarygender

beneficiarystreetAddress(Required)

beneficiarystreetAddress2

beneficiarycity(Required)

beneficiarycountry(Required)

beneficiaryemail(Required)

beneficiaryphoneNumber(Required)

relationshipToPetitioner(Required)

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Immigration Choice is made

countryOfBirth(Required)

alienNumber(Required)

uscisNumber(Required)

OTHcaseNum(Required)

applicationType(Required)

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Medicare, IRS, Education, Passport, or Military/Veterans

If applicable, please provide:

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SSN for any but Immigration, Housing, USPS, FEMA, or blank

ssn

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Social Security

ssnFieldOffice

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Other

federalAgency

caseNum

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FEMA

femaNum

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Passport

passportName(Required)

passportDOB(Required)

passportDOA(Required)

minorParentsName(Required)

dateDestinationofTravel(Required)

locatorApplicationNumber(Required)

Type of Service

Regular

Expedited

For emergency appointment requests, you will be asked to provide evidence to show your need to travel in the next 2 weeks or 30 days if you are applying for a foreign visa. (Note: For minor children a parent's signature is required, but the full name, DOB, SSN, and date of travel are requested for each individual who needs assistance with a pending passport application or expedited passport service.)

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Personal Management/OPM

OPMNumber

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Medicare

medicareNum

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IRS

taxpayerID

taxpayerYear

taxpayerYearQuarterly

Only fill out if a business or independent contractor.

If filing jointly, please fill out the following information:

jointFilerName

jointFilerSSN

If filing for deceased tax filer, please fill out the following information:

deceasedName

deceasedDOB

deceasedSSN

deceasedAddress

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USPS

USPSNum

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Small Business Administration/SBA

loanNum

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Education

studentLoanNum

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Military and Veterans

veteranAffairsNum

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Everything but Immigration

Authorized Point of Contact Information

authorizedPOCName

authorizedPOCRelationship

authorizedPOCPhone

authorizedPOCEmail

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Housing

housingOrganization

housingCaseNumber

housingComplexName

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Everything

Request Details

issueDescription(Required)

otherCongress(Required)

Are you currently working with another member of Congress?*

Yes

memberName

isCasePending(Required)

Do you currently have a case pending before a local, state, or federal court pertaining to this matter?*

Yes

This form must be signed by the constituent seeking assistance with a U.S. federal agency.

I declare under penalty of perjury that the foregoing is true and correct.

I certify, under penalty of perjury, that 1) I provided or authorized all of the information in this privacy release and any document submitted with it; 2) I reviewed and understand all of the information contained in my privacy release and submitted with it; and 3) all of this information is complete, true, and correct. I authorize USCIS to release information contained in my USCIS records as relevant to checking my case status, and to the extent permitted by law, to Senator Elissa Slotkin and her staff.

Constituent Name(Required)

The information I have provided to Senator Slotkin is true and accurate to the best of my knowledge and belief. The assistance I have requested from Senator Slotkin's office is in no way an attempt to evade or violate any federal, state, or local law.

Signature of Constituent(Required)

Constituent Date of Signature(Required)

Spouse’s signature. If a joint return, both must sign.(Required)

Spouse Date of Signature(Required)

If you are on a phone, tablet, or other mobile device, use your finger to write your signature in the field above as you would with a pen. If you are on a computer, use your mouse to sign the document. Click and hold any button, then move your cursor within the field above to write your signature.

This field is for validation purposes and should be left unchanged.

ELISSA SLOTKIN, SENATOR FOR MICHIGAN

Help With a Federal Agency Form (With Signature)

I hereby request the assistance of the Office of Senator Elissa Slotkin to resolve the matter described below. I authorize Senator Slotkin and her staff to recieve any information that they might need to provide this assistance

Your Information

Military/Clergy

How Can I help?

Military Records and Medals

Immigration

Applicant Information:

Beneficiary

Beneficiary Information:

If applicable, please provide:

Social Security

FEMA

Passport

Personal Management/OPM

Medicare

IRS

USPS

Small Business Administration/SBA

Education

Military and Veterans

Authorized Point of Contact Information

Housing

Request Details

The information I have provided to Senator Slotkin is true and accurate to the best of my knowledge and belief. The assistance I have requested from Senator Slotkin's office is in no way an attempt to evade or violate any federal, state, or local law.

Washington, DC

Detroit, MI

Flint, MI

Lansing, MI

Traverse City, MI

Grand Rapids, MI

Upper Peninsula Marquette, MI