Casework Request for USCIS Agency (required) Date (required) Alien Number (required) Case Number (required) Prefix(required) Mr.Mrs.Ms.Miss.Dr. Full Name (required) Date of Birth (required) Place of Birth (required) Street Address (required) Phone Number (required) Email Address (required) Nature of Problem (required) After clicking submit, please print, sign and mail your request to: Office of Congresswoman Katherine Clark Attn: Constituent Services 157 Pleasant Street, Suite 4 Malden, MA 02148
