Due to the privacy act of 1974, I need your signed written permission if you would like my help with a Social Security Administration claim or appeal. Please print out this authorization form and fax it to my district office at (614) 818-0887, or mail it to my district office at:
Congressman Patrick J. Tiberi
250 E Wilson Bridge Rd, Suite 100
Worthington, Ohio 43085
If you have require immediate assistance with a Social Security Administration problem, call my district office at (614) 523-2555.