Respondent Burden: VA may not conduct or sponsor and respondent is not required to respond to this collection of information unless it displays a valid OMB control number. Any information provided by you, including your Social Security Number, may be used in computer matching programs conducted in connection with any proceeding for the collection of an amount owed by virtue of your participation in any benefit program administered by VA. VA systems of records and alterations to the systems are published in the Federal Register. The routine uses for which VA may disclose the information can be found in VA systems of records, including 58VA21/22, Compensation, Pension, Education and Rehabilitation Records-VA, and 88VA244, Accounts Receivable Records-VA. The information may be disclosed outside the Department of Veterans Affairs (VA) only when authorized by the Privacy Act of 1974, as amended. The responses you submit are confidential and protected from unauthorized disclosure by 38 U.S.C. However, without disclosure, a credit card transaction or direct debit transaction cannot be processed. Privacy Act Information: The information you furnish on this form, including your Social Security Number, is used to associate your payment with your accounts receivable record so that we may properly credit your account. If you have questions, please call the VA Debt Management Center at 80 (TTY: 711) between 6:30 am and 6:00 pm Central time. Making payments on this Web site will delay application of those payments to your account and will not preclude fees charged by the collection agencies or law firms. ![]() This means the Department of the Treasury has referred your account for private collection. YOU HAVE RECEIVED COLLECTION LETTERS OR PHONE CALLS FROM A PRIVATE COLLECTION AGENCY OR LAW FIRM Questions regarding Treasury collection should be directed to the telephone number on the Treasury collection letter. If Treasury has sent you this letter, making a payment on this Web site will only delay application of the payment and will not preclude Treasury from adding fees to the amount you owe. YOU HAVE RECEIVED A COLLECTION LETTER FROM THE DEPARTMENT OF THE TREASURY GIVING YOU 10 DAYS TO MAKE PAYMENT TO AVOID FURTHER COLLECTION ACTION If you need help completing the co-payment form call 86. If you wish to make a VA medical co-payment click here. PLEASE DO NOT MAKE PAYMENTS ON THIS WEB SITE IF: YOU ARE PAYING A VA MEDICAL CO-PAYMENTĭMC does not collect nor have information concerning medical billing statements. ET.*** A NOTE ABOUT YOUR WEB BROWSER *** You will need to use one of the following Internet Browsers in order to complete a transaction: Internet Explorer 5.5 SP2 or higher Mozilla Firefox 1.5 or greater Mozilla 1.7 or greater Netscape 7.x OR, Safari 1.2 (for MAC users). We’re here Monday through Friday, 8:00 a.m. To set up representation with an accredited representative or VSO:Ĭontact us at 86 ( TTY: 711) to request the necessary forms. ![]() Or search the VA Office of the General Counsel’s list to find VA-recognized organizations and VA-accredited individuals by name, city, state, or zip code.Go to eBenefits to find a local representative (including a recognized VSO, an attorney, or a claims agent) by state/territory, zip code, or the organization’s name.To find an accredited representative or VSO: You can hire an attorney or a VA-accredited agent (a trusted professional who's trained and certified in our processes) for a fee.You can work with a Veteran service organization (VSO) or other VA-recognized service organization for no charge, or. ![]() You have 2 options for getting legal representation: You can choose to have legal representation for all VA payment disputes.
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