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socialsecurity

"*" indicates required fields

My office can reach out to the Social Security Administration (SSA) to request information regarding a constituent's Social Security retirement benefits, Social Security Disability Insurance (SSDI), or Supplemental Security Income (SSI).

COMMON AREAS OF ASSISTANCE

Social Security Overpayment: When SSA believes that it has sent you more money than it should have, the agency may instruct you to return the extra funds. If you have already filed a Request for Reconsideration (SSA 561), or a Request for Waiver of Overpayment Recovery (SSA 632), my office can contact Social Security to request a status update on these petitions. If you have requested a hearing before an administrative law judge (Form HA 501), my office can request a status update on this petition.

SSA Payment Delay: If you believe your payment from SSA has been unduly delayed for more than 30 days, my office can request a status update from SSA.

SSDI Hearing Status Update: If you have requested a hearing before an administrative law judge to appeal a decision related to your SSDI benefits, my office can request a status update on this hearing. If you believe your case meets the criteria for expedited processing, my office can also request a status update on your request for expedited processing.

LIMITATIONS TO ASSISTANCE

My office will do everything possible to assist constituents within the legal and practical limitations of a congressional office. Please note that a congressional inquiry does not guarantee faster processing or a favorable outcome. If my office reviews your concern and determines that it falls outside the scope of congressional assistance, my office will do our best to direct you to the appropriate resource for further help.

  • Dispute Findings: Decisions made by SSA are final and cannot be overturned. My office is not authorized to dictate actions to federal agencies, and cannot assist in disputing findings determined by the SSA.
  • Advise On Actions: My office is not equipped to advise on the best way to apply for Social Security benefits or to appeal the findings of the SSA. Constituents may contact their local Social Security field office directly, or seek assistance from an attorney.

For assistance, please fill out the form below to contact my office. If your matter is urgent, you may also call our Boston office at (617) 565-3170 or our Springfield office at (413) 788-2690.

Your Information

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Address*
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Have you Contacted

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would you like

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Address*
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Do you currently

How can I Help?

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-----IRS

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-----Immigration, Citizenship, and Visas

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Petitioner Information

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Do you have a beneficiary?*

Beneficiary Information

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Additional Information

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-----MEDICARE & MEDICAID

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-----MEDICARE

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-----MEDICAID

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-----STUDENT LOAN

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Please Select*
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-----VETERANS

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Please attach dd214 or dd214-1 form, discharge papers, Statement of Service or Retirement notice attachments, VA benefits determination letters attachments, and/or previous VA correspondence when submitting your casework request.

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------Military

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------Office of Personnel Management

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------Passports

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If you have already applied+paid for expedited processing please send us proof of your imminent travel along with your casework submission.

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-------Social Security

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-------General

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-----FINISHING UP

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PDF Signature


Certification Under Penalty of Perjury

To the best of my knowledge, 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, (print your name)___________________________________ , 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 Elizabeth Warren and the Member’s staff.


Signature (sign in ink):_________________________________________       Date: _______/ _______/ _______


Address:__________________________________________________________________________________


Phone:_________________________________________       Email: ___________________________


Please Sign, Date and Send to our Office

U.S. Senator Elizabeth Warren and members of her staff have my permission to make inquiries on my behalf, including access to my personal records and/or files as necessary to assist me in the matter that I have presented to her office.


Signature: _____________________________________       Date: _______/ _______/ _______


Options to send to my office:

By Mail: By Email: By Fax:
U.S. Senator Elizabeth Warren
2400 JFK Federal Building
15 New Sudbury Street
Boston MA 02203
casework@warren.senate.gov 202-228-4850

Please download, sign, date, and send this form to our office.

REVIEW & DOWNLOAD
Download PDF

The Federal Privacy Act of 1974 (Public Law 93-579) requires us to have your written permission before we contact government agencies on your behalf or discuss your case in detail. After completing the form above, please click "Submit and Generate PDF" below for a printable PDF copy of the Privacy Act Waiver form with your information.

Or you can download a Privacy Act Waiver form and fill it out yourself:

  • Privacy Act Waiver for non-immigration cases (English)
    Spanish, Arabic, Chinese, Haitian Creole, Cape Verdean Creole, Khmer, Portuguese, Vietnamese

Once your form is filled out and signed with your original signature, please return it to my Boston office by doing one of the following:

Email: casework@warren.senate.gov

Fax: 202-228-4850

Mail:
Senator Elizabeth Warren
2400 JFK Federal Building
15 New Sudbury Street
Boston MA 02203

For the fastest response from our office, please email or fax as physical mail has longer processing times.

Please only include email attachments as PDF's or JPEG's.

The Federal Privacy Act of 1974 (Public Law 93-579) requires us to have your written permission before we contact government agencies on your behalf or discuss your case in detail. After completing the form above, please click "Submit and Generate PDF" below for a printable PDF copy of the Privacy Act Waiver form with your information.

When you submit your inquiry please also prepare and submit the following documents:

  1. A completed personal statement
  2. Proof of Travel (Flight itinerary, hotel booking, etc.)
  3. Relevant supporting documentation (death certificate, funeral/memorial service invitation, college tour confirmation, medical letter, employment letter, conference/award invitation, etc.).

If sending images, convert them into .pdf files by pasting them into a Word document. All proof must be in English.

Or you can download a Privacy Act Waiver form and fill it out yourself:

  • Privacy Act Waiver for non-immigration cases (English)
    Spanish, Arabic, Chinese, Haitian Creole, Cape Verdean Creole, Khmer, Portuguese, Vietnamese

Once your form is filled out and signed with your original signature, please return it to my Boston office by doing one of the following:

Email: casework@warren.senate.gov

Fax: 202-228-4850

Mail:
Senator Elizabeth Warren
2400 JFK Federal Building
15 New Sudbury Street
Boston MA 02203

For the fastest response from our office, please email or fax as physical mail has longer processing times.

Please only include email attachments as PDF's or JPEG's.

The Federal Privacy Act of 1974 (Public Law 93-579) requires us to have your written permission before we contact government agencies on your behalf or discuss your case in detail. After completing the form above, please click "Submit and Generate PDF" below for a printable PDF copy of the Privacy Act Waiver form with your information.

Or you can download a Privacy Act Waiver form and fill it out yourself:

  • Immigration Casework Privacy Act Release Form (English)
    Spanish, Arabic, Chinese, Haitian Creole, Cape Verdean Creole, Khmer, Portuguese, Vietnamese
  • Immigration Cover Letter

Once your form is filled out and signed with your wet ink signature, please return it to my Boston office by doing one of the following:

Email: casework@warren.senate.gov

Fax: 202-228-4850

Mail:
Senator Elizabeth Warren
2400 JFK Federal Building
15 New Sudbury Street
Boston MA 02203

For the fastest response from our office, please email or fax as physical mail has longer processing times.

Please only include email attachments as PDF's or JPEG's.

After you have read the statement above and downloaded the PDF, click "Confirm & Submit" button to finish.

Acknowledgment*
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