Important Information About Your Appeal, Waiver Rights and Repayment Options - Debt Management System

Important Information About Your Appeal, Waiver Rights and Repayment Options

DMS Screen

Important Information About Your Appeal, Waiver Rights and Repayment Options - Debt Management System

OMB: 0960-0779

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DMS TRANSFER TO: XXXX PROTEST/STOP RECOVERY REQUEST (FO) DRPF


[1-D] [2-D] [3-D] [4-D]


SSN: SSSSSSSSS SSSSSS S SSSSSSSSSSss ssss BIC: SSS SSSSSs s SSSSSSSSSSss ssss


[5-D] [6-D] [7-D] [8-D]


DEBT NUMBER: SSS DEBT REASON: SS DEBT AMT: SSSSSsSSS DEBTOR AMT: SSSSSSSSS


[9-M]


REQUEST: 99


PROTEST REASONS STOP RECOVERY ACTIONS ECO PROTEST ONLY


1. EXPLANATION 10. FULL REFUND MADE 19. NON-ENFORCEMENT


2. INFORMAL WAIVER 11. WORKSHEET NEEDED 20. REVIEW DEBT


3. INITIAL WAIVER 12. COMPROMISE OFFER MADE 21. FSO REVIEW


4. RECON FACT/AMOUNT 13. SSI CORRECTION NEEDED


5. WAIVER AND RECON FACT/AMT 14. LEG/COURT DECISION


6. RECON - CASE REVIEW


7. HEARING FACT AMOUNT 16. MISCELLANEOUS


8. HEARING WAIVER 17. ALLEG NON-RCPT OF CK



[10-O]


DELETE (Y): X


File Typeapplication/msword
File TitleDMS TRANSFER TO: XXXX PROTEST/STOP RECOVERY REQUEST (FO) DRPF
AuthorLarwood, Debbie
Last Modified ByLarwood, Debbie
File Modified2010-01-29
File Created2010-01-29

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