• Agencies

Yellowstone NP Emergency Medical Services Billing

Description: Complete this form to make a payment. This is NOT an application. Applicants must contact 307-344-2108 or yell_ems_billing@nps.gov or go to https://www.nps.gov/yell/learn/management/lawsandpolicies.htm for additional information.

Debt Payments for Contracts w/Pay Office F67100, F25700, F68300, F78900, F87700

Description: The DFAS Contractor Debt Payment form is used for the submission of funds on contracts where the payment office is listed as F67100, F25700, F68300, F78900 or F87700 (Limestone, ME). To ensure accurate routing of your payment, please check your demand letter on which DFAS site to send your payment to.

DEEOIC Pharmacy Overpayment Submission Form

Description: This form is to be used to return overpayments to DEEOIC. Please note that overpayment submissions should only be made if there is a related Transaction Control Number (TCN), as well as a specific request from DEEOIC to return the overpayment. Overpayment submissions without the TCN will be rejected.
Form Number: DEEOIC PHARM OVERPAYMENT

DEEOIC Provider Overpayment Submission Form

Description: This form is to be used to return overpayments to DEEOIC. Please note that overpayment submissions should only be made if there is a related Transaction Control Number (TCN), as well as a specific request from DEEOIC to return the overpayment. Overpayment submissions without the TCN will be rejected.

Department of Interior - IBC

Description: Please use this form to make payments for your overpayment letter sent to you by the Interior Business Center. Payments made by you will only be applied to the overpayment ID specific by you, this can be found on the overpayment letter above your name. If you do not have or know your overpayment ID please contact the Customer Service Center at 888-367-1622.

Department of Interior- IBC- Payroll- MSD

Description: Please use this form to make payments for your Military Service Deposit(MSD). Payments made by you will be applied to the amount described in your MSD letter from IBC. If you have questions about your MSD please contact the Customer Service Center at 888-367-1622.
Form Number: DOI - IBC - PAYROLL - MSD

DFAS Columbus Air Force Contract Vendor Debt 3801/503000

Description: The DFAS Contractor Debt Payment form is used for the submission of funds on contracts where the payment office is listed as 503000 (Columbus, OH). To ensure accurate routing of your payment, please check your demand letter on which DFAS site to send your payment to.

DOJ DAOG/CDCS

Description: Please use this form to make your Dept of Justice Civil Debt payments only. DO NOT USE THIS FORM FOR CRIMINAL PAYMENTS. These payments must be made to your U. S. District Court Clerks Office. If you have any questions call the DOJ Consolidated Debt Collection System (CDCS) Help Desk at 1-800-683-6567.

I 17 SEVIS School Certifications

Description: Schools: use this form to pay the fee required to file a petition for Student and Exchange Visitor Program (SEVP) school certification, recertification or site visits. NOTE: This form is not for student payments.
Form Number: I 17 CERTIFICATION
OMB Number: 1115-0070

Miscellaneous Payments to the Agricultural Research Service (ARS)

Description: Miscellaneous payments made to the Agricultural Research Service
Form Number: ARS Misc Payments

National Archives at St. Louis onsite payments

Description: Use this form to pay for reproductions made onsite in the National Archives at St. Louis Research Room.
Form Number: St.Louis Pay

San Juan NHS Commercial Use Authorization Fees

Description: Use this form to pay your non-refundable Commercial Use Authorization fees for San Juan National Historic Site.

San Juan NHS Special Use Permit Application Fees

Description: Use this form to pay Special Use permit Application Fees for San Juan National Historic Site.

San Juan NHS Special Use Permit Fees

Description: Use this form to pay your Special Use Permit Fees for San Juan National Historic Site.

San Juan NHS Still Photography Location Fees

Description: Use this form to pay for still photography location fees at San Juan National Historic Site
Form Number: SAJU Still Photo Location Fees

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