Casework Form

Federal Agencies—Getting Help

Residents of the 4th Congressional District of California 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—such as:

  • 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 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.

Please send the form to: Office of Congressman Tom McClintock, 8700 Auburn-Folsom Road, Suite 100, Granite Bay, CA 95746
 


Authorization Form

In accordance with the Privacy Act of 1974, I give CongressmanTom McClintockauthority to act on my behalf.

 
, , ,
Work Phone
Cell
Fax
Email
Yes    
  
  

Print and Sign

Click on the "Generate Authorization" button above to produce the printable 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.

PDF Version of the Authorization Form

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Upcoming Events

 
Oakhurst Town Hall Meeting

Congressman McClintock will hold a town hall meeting in Oakhurst on Wednesday, April 23rd at 6:00 pm. The meeting will be held at Oakhurst Elementary School, 49495 High School Road, in Oakhurst. Hope to see you there!

Satellite Office Hours

Office staff members are available to assist constituents with problems or concerns at satellite office locations held throughout the district.  Anyone wishing to discuss an issue of federal concern is invited to attend one of these satellite office sessions and speak with a member of staff.  For more information, or to reach staff, please call the district office at 916-786-5560.
  
Upcoming Satellite Office Hours Scheduled for April 2014:
 

Amador County

Jackson
Tuesday, April 29, 2014
2:00 pm - 4:00 pm
Conference Room D
County Administration Center
810 Court Street
 
Calaveras County

San Andreas
Tuesday, April 29, 2014
11:00 am - 1:00 pm
Calaveras County Water Agency Conference Room
120 Toma Court
 
El Dorado County

Placerville
Tuesday, April 15, 2014
10:00 am - 12:00 pm
El Dorado County Government Center
330 Fair Lane
 
El Dorado Hills
Tuesday, April 15, 2014
2:00 pm - 4:00 pm
El Dorado Hills Chamber of Commerce
2085 Vine Street, #105
 
South Lake Tahoe 
Monday, April 21, 2014
11:00 am - 1:00 pm
South Tahoe Public Utility District
1275 Meadow Crest Drive
 
Fresno County

Auberry 
Thursday, April 17, 2014
3:00 pm - 4:00 pm
Auberry Library
33049 Auberry Road
 
Madera County

Oakhurst 
Wednesday, April 16, 2014
2:30 pm - 4:00 pm
Yosemite Visitors Bureau Conference Room 40637 Highway 41
 
Coarsegold 
Wednesday, April 30, 2014
4:00 pm - 5:00 pm
Yosemite Lakes Park/Clubhouse Library
30250 Yosemite Springs Way
 
Mariposa County

Mariposa
Wednesday, April 9, 2014
11:00 am - 12:00 pm
Library Conference Room
4978 10th Street
 
Placer County

Auburn
Tuesday, April 8, 2014 
9:00 am - 11:00 am
Placer County Government Center 
CEO 3 Meeting Room
175 Fulweiler Avenue
 
Lincoln 
Tuesday, April 8, 2014
3:00 pm - 5:00 pm
Lincoln City Hall
600 6th Street
 
Loomis 
Tuesday, April 1, 2014
9:00 am - 11:00 am 
Loomis City Hall
3365 Taylor Road
 
Rocklin 
Tuesday, April 22, 2014
3:00 pm - 5:00 pm
Rocklin City Hall
3980 Rocklin Rd
 
Tuolumne County

Sonora 
Tuesday, April 8, 2014
2:00 pm - 4:00 pm
Small Business Center Conference Room
99 N Washington St, Sonora
 
For further information on satellite office hours, please call 916-786-5560.