Gary’s office stands ready to help you understand your rights and responsibilities related to various federal programs and help you work through a problem you may have with a federal agency. Acting as a liaison between you and the federal government, our staff can often help you answer questions, find resources or resolve problems. Our office cannot promise you a specific outcome from an agency or referral. We will do our best to help you receive a full and fair response. Please complete this form for immigration, USCIS, State Department and Visa issues. Please complete the beneficiary section ONLY IF you have filed for an immigration benefit on behalf of another individual. Please leave the beneficiary section blank if you are filing for an immigration benefit for your yourself. The Privacy Act of 1974 (Public Law 93-579) requires your written authorization for my office to contact government agencies on your behalf or discuss your case in detail. The Privacy Act authorizes the disclosure of records to congressional offices acting on behalf of constituents only when the individual has consented.
PLEASE PROVIDE THE APPLICABLE INFORMATION RELATED TO YOUR CASE
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 Senator Gary Peters and his staff to work on my behalf with agencies in the U.S. Department of Homeland Security (CBP, ICE, USCIS), U.S. Department of State and/or U.S. Department of Justice (EOIR) relevant to the matter described above, to receive and review any information contained in my file, and, if necessary, to forward any pertinent correspondence sent by me regarding this matter to those agencies.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 Senator Gary Peters and his staff to work on my behalf with agencies in the U.S. Department of Homeland Security (CBP, ICE, USCIS), U.S. Department of State and/or U.S. Department of Justice (EOIR) relevant to the matter described above, to receive and review any information contained in my file, and, if necessary, to forward any pertinent correspondence sent by me regarding this matter to those agencies.
Please attach a copy of your receipt, I-797 Notice of Action, and most recent supporting documents, up to three files and no larger than 15MB a piece.