Skip to Content

Submit Immigration/Visa Casework

One of a Congressional office's primary functions is to provide direct service to constituents.  I’m proud to employ a full staff of case workers whose job is to help residents of the 12th Congressional District of New York. While we cannot guarantee you a favorable outcome, we will do our best to help you receive a fair and timely response from the government agency involved.

If you would like to make an official request, please first complete the privacy authorization form, in compliance with the provisions of the Privacy Act, by clicking the button below. Then after you've completed the privacy authorization form, fill out the rest of the form on this page and briefly describe the problem you are having. My staff will get back to you shortly in an effort to help you.

Click Here To Sign an Electronic Release

 

Your Request
Choose an issue category from the drop-down list which most resembles your issue of concern. *
Personal and Contact Information Petitioner (i.e. the family member, school, or company applying to bring someone to the US) or YOU if this is a personal/individual case:
First Name: *
Last Name: *
Date of Birth: *
Gender: *
Street Address: *
City: *
State: *
Zip: *
Phone Number: *
Alternate Phone Number:
Email Address: *
Country of Origin:
USCIS A-Number (if applicable):
USCIS Receipt Number (if applicable):
Visa Application Number (if applicable):
Application Date:
Application Receipt #:
Interview Location: (if applicable)
Interview Scheduled:
Interview Date:
Beneficiary Information Beneficiary (i.e. individual or family member who would receive the visa if different from above):
*Note: Do not complete if this is a personal/individual case
Beneficiary First Name:
Beneficiary Last Name:
Beneficiary Date of Birth:
Beneficiary Country of Origin:
Other Contact (If you are assisting someone else in contacting our office, and are not the petitioner or the beneficiary):
Name:
Phone Number:
Email Address:
Relationship:
Type of Immigration Case
What type of immigration case do you want help with? *
I-130, Petition for Alien Relative
I-730, Refugee/Asylee Relative Petition
I-129F, Petition for Alien Fiancé (K1)
DS-160, Visitor’s Visa Application
You are applying for a visitor's visa so that a family member or friend can come visit you
Other:
I-485, Application to Register Permanent Residence or Adjust Status
I-751, Petition to Remove Conditions on Residence
I-765, Application for Employment Authorization
N-400, Application for Naturalization
I-90, Application to Replace Permanent Resident Card
I-131, Application for Travel Document
 I-601, Application for Waiver on Grounds of Inadmissibility
I-90, Application to Replace Permanent Resident Card
I-589, Application for Asylum and Withholding of Removal
N-600, Application for Certificate of Citizenship
Other:
Student/Exchange Visitor Visa
Full time academic or language program (F1)
Vocational Student (M1)
J1 Visa
Other:
Work Visa
I-140, Immigrant Petition for Alien Worker
I-129, Petition for Nonimmigrant Worker
Specialty Worker (H-1B)
Culturally Unique Artist/Entertainer (P-3)
Other:
Other:
Please Describe:
Request Details
Describe your issue and what you would like help with – please include relevant dates, agencies and offices as well as the names of all petitioners and beneficiaries associated with your case: *
 

Back to top