Constituent Casework Request Form
We would be happy to connect with you! This form is intended for members of Congress and their staff to communicate with HRSA regarding constituent casework. If you are not a staffer and want to reach us, please email the Office of Legislation (OL) at legislation@hrsa.gov for assistance. Please use the Constituent/Casework form to complete the form to contact HRSA OL and submit your constituent casework request.
Constituent/Casework Form: https://www.hrsa.gov/constituent/email
Additionally, if you have any of the following items to submit to HRSA, please email legislation@hrsa.gov, and the legislative analyst for that program area will respond and assist.
- Letters of support
- Congressional letters, in general
- Congressionally directed projects or Earmarks
If you have an issue that falls outside of these areas, please email legislation@hrsa.gov for immediate assistance.
Information for Health Workforce Program applicants
Information for Health Workforce Program participants
- General information for current scholarship recipients
- General information for current loan repayment program participants
Countermeasures Injury Compensation Program (CICP) resources
- Check the status of your claim
- Request for Benefits form (PDF - 316 KB)
- Overview of the CICP filing process