Constituent Casework Assistance

March 7, 2023

Constituent Information

First and Last Name

Address

City

State

Zip Code

Contact Phone

Country of Birth

Are you a Member of The Military or Clergy?

Issue you need assistance with

State Tax

Utility

Housing

Local & State Retirement

Labor & Employment

Military & Veteran Affairs

Small Business

Public Assistance & Social Services

Other

Please explain in detail.

Any supporting documents you have.

One file only.
2 MB limit.
Allowed types: jpg, jpeg, pdf.

New York State Senator
Jeremy Cooney