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TREASURY OFFSET PROGRAM
File Transmittal Form
WARNING! You are using an Official United States Government System, which may be used only for authorized purposes. Unauthorized modification of any information stored on this system may result in criminal prosecution. The Government may monitor and audit the usage of this system, and all persons are hereby notified that the use of this system constitutes consent to such and auditing.

A Transmittal Form is required for each file of debtor information submitted to the Treasury Offset Program for processing. Enter the appropriate information in each of the fields below, then click the "Submit" button.

Enter Today's Date:
(Month/Day/Year)

CYCLE NUMBER:

Transmitter's Name:

Transmitter's E-Mail Address:

Secondary E-Mail Addresses:
(One address per field)

(One address per field)

Agency Code:

Agency Name:

Agency Contact:

Phone Number:

FAX Number:

FILE NAME:
(Based on TOP naming standard)

Block Size:

Record Length:

Number of Blocks:

Number of Control Records

T1 Number:

Number of Data Records:

Submission Media:
Processing Mode:
(Select one)

Total Dollar Amount
on Control Record:
$

Additional Comments:

*****************************************************************
Please note: If you experience any problems when attempting to submit this form, you may print a copy of the completed form and fax it to (205) 912-6522.

BDMOC Payment

Telephone:
(205) 912-6555
(205) 912-6537

FAX:
(205) 912-6522

E-Mail:

DMSOC TOPFD OPS@fms.treas.gov

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   Last Updated:  January 15, 2013

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FMS Privacy Policy 		Web Site Inventory &
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