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Congressman Gene Green

Representing the 29th District of Texas

Help With a Federal Agency Form

1. Determine your eligibility for opening casework with our office.
2. Read this list of Frequently Asked Questions for quick answers to the most common questions.
3. Prepare to open a case with my office by completing the Casework Authorization Form below.
4. Print the form and mail, fax or drop off all of your documentation to:

    Office of Congressman Gene Green
    Attn: Caseworker
    256 N. Sam Houston Pkwy E., Suite 29
    Houston, Texas 77060

Please note that the Privacy Act of 1974 (5 U.S.C. § 552a) requires that Members of Congress or their staff have written authorization before they can contact an agency to obtain information about an individual's case.  We must have your signature to proceed with this type of request.

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;

If you have any questions, please contact either of my local offices at 281-999-5879 or 713-330-0761.


Authorization Form

This is a three step process.  Step one is to fill in the form with the required data, then click the “Generate Request for Review” button at the bottom of the page.  Once reviewed, print and mail, fax, or hand deliver the document to our office.  The address and fax number are on the generated page.

In accordance with the Privacy Act of 1974, I give Rep. Gene Green authority to act on my behalf.

  marks required fields of data.

Your Information
Telephone

What are these options?
This is to help the constituents that are hard of hearing or use a video phone alert us to that fact so we can use the proper technology when we need to call them. The default option “Voice” is a normal audible telephone.

Print This Form

Use the Generate Request for Review button to produce the document to authorize our office to help you. Print, sign, and mail, fax, or hand deliver it to the address shown on the document. Please include any other documents or material that you think would help our office help you.