Casework Inquiry Form

Need us to open a case with a federal government agency on your behalf? Fill out the form below to give us permission to work on your behalf!

Our office may only assist constituents of Abbotsford—South Langley – to ensure you are a resident of Abbotsford—South Langley please verify your postal code here.

Full Name:

First Name*

Last Name*

Date of Birth:

Address:

Mailing Address*

City*

Postal Code*

Contact Information:

E-mail*

Phone*

Issue*

Have you already contacted the department or agency directly?*

YesNoNot sure

Description of the Issue

Consent:

I hereby request that the office of Sukhman Gill, Member of Parliament, assist me with the issue stated above.

For this purpose I authorize the office of the Member of Parliament Sukhman Gill and/or his representative to consult the necessary government departments or agencies on my behalf and for the government department/agency to release any and all information in my file to the Member of Parliament and his staff. MP Gill and his representatives may use and share with government officials any and all personal information and documentation, including correspondence, which I have provided to him or his representatives to the extent necessary in their efforts to assist me.

I agree