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; 3) all of this information is complete, true, and correct. I authorize USCIS to release information contained in my USCIS records relevant to checking my case status to the extent permitted by law to my Member of Congress and relevant staff. I understand that I am not required to make payment in any form for the services provide by my Member of Congress.

I hereby request the assistance of the Office of Representative Madison Cawthorn to resolve the matter described below. I authorize Rep. Madison Cawthorn to receive any information that they might need to provide this assistance. The information I have provided to Rep. Madison Cawthorn is true and accurate to the best of my knowledge and belief. The assistance I have requested from Rep. Madison Cawthorn is in no way an attempt to evade or violate any federal, state, or local law.