If you need assistance resolving a Social Security, Medicare or Office of Personnel Management issue, please complete the sections below to open a case.
Please provide your Constituent Information (below). We will also need the following documents which will be forwarded to the agency in question:
- Privacy Release Form: Under the Privacy Act, a federal agency needs a person’s permission before it shares their information with our office. Accordingly, please complete all sections of this Privacy Release Form (PRF). On the second page of the PRF, please explain the issue or situation and the requested assistance. Please print a hardcopy and manually sign it (we cannot accept digital or electronic signatures). If you do not have a printer, please let us know and we will mail a copy to you.
- Supporting Documents: Provide copies of any relevant supporting documents.
Please mail the documents to our Honolulu office:
Office of U.S. Senator Brian Schatz
300 Ala Moana Blvd., Room 7-212
Honolulu, HI 96850
You can also email it to email@example.com. Please add this email address to your contacts list to prevent our emails from landing in your junk mail inbox or spam folder. Also, please note that our computer system can only receive attachments that are 1 MB or smaller. Larger sized attachments may need to be sent in multiple emails.