State Agency Assistance Request

The office of Assemblymember Greg Wallis is happy to aid constituents in California's 47th Assembly District when they require assistance dealing with a California State Agency.

To request assistance, please submit the following request form. Staff will follow up by email for additional information, if needed, and to provide updates. Please note that requests will be processed in the order they are received. For assistance with federal issues (i.e. SSI, visas and passports, etc.) please contact your U.S. Congressional Representative.

So our office may better assist you, please confirm the best phone number at which to contact you. *

Please be sure to include the area code

Which California state agency do you need assistance with? *

Please note our office can only help with state issues.

Employment Development Department (EDD)

Franchise Tax Board (FTB)

California Housing & Community Development (HCD)

California Department of Justice (DOJ)

Department of Motor Vehicles (DMV)

Other

If you selected other, please specify here.

Applicable Case/Application/Identification Number:

Date of Birth:

Date of Application (if applicable):

Have you contacted the agency? *

Yes

When was the last time you received a correspondence from the agency?

Have you contacted another elected official? *

Yes

If yes, who have you contacted?

Please provide a detailed summary of the issue you are requesting assistance with.

Does the Office of Assemblymember Greg Wallis have permission to work with this agency on your behalf? *

Yes

If additional identifying information is needed (i.e. social security number, driver's license number, EDD customer account number, etc.) a signed Release of Information form is required and will be sent to you by staff.