Help with a Federal Agency

Note: Fields marked with an * are required.

This is a three step process:

  1. Fill in the form with the required data, then click the “Generate Request” button at the bottom of the page.
  2. Review the form to ensure all data is accurate.
  3. Print, sign 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 Congressman Darin LaHood authority to act on my behalf.

Your Information
What are these options?
Constituents who are hard of hearing or use a video phone have the option to choose TDD or VP based on the type of device they are using. This allows our office to respond to them accordingly. The default option "Voice" is a standard audible telephone.
Please do not include your social security number if your case inquiry is immigration-related. This form requires you to print, sign and mail, fax, or hand deliver the signed document. Your social security number will not be transmitted electronically.
Agency/Military Information
Immigration-related Information

Print This Form

Use the "Generate Request for Review" button below 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.