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white arrow Overview: Green Book

white arrow Introduction

white arrow Chapter 1:
    Enrollment

white arrow Chapter 2:
    Payment Processing

white arrow Chapter 3:
    Nonreceipt

white arrow Chapter 4:
    Returns

white arrow Chapter 5:
    Reclamations

white arrow Chapter 6:
    Notification of Change

white arrow Chapter 7:
    Collections

white arrow Chapter 8:
    Contacts

white arrow Chapter 9:
    Glossary

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Green Book

Reclamations

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Table 3-A Notice of Reclamation (Form FMS-133)

The Notice of Reclamation advises the RDFI of...

  • the date of death or legal incapacity;
  • the amount of post-death payment(s) for which the RDFI may be liable;
  • the identity of each payment(s) in question, including:
  1. name of the recipient
  2. individual ID or claim #
  3. date of the payment(s)
  4. Federal agency that authorized the payment(s) and the type of payment(s)
  5. payment trace number(s)
  6. type of account (checking/savings) to which the payment(s) was made
  7. depositor account number
  8. amount of the payment(s).

The FMS-133 consists of six parts:

  • Part 1- Program Agency Copy
  • Part 2- Program Agency File Copy
  • Part 3- RDFI Copy
  • Part 4- Disbursing Office Copy
  • Part 5- Notice to Account Owners Copy
  • Part 6- Disbursing Office Pending Copy
    (RDFI does not receive Part 6)

Note: RDFIs will receive Parts 1 through 5.

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   Last Updated:  Wednesday March 21, 2007

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