About this form

Use this form to pay for your OCS Application for Permit to Modify (APM) -MMS-124- for mailed or faxed applications only. Please use the BSEE eWell payment link to pay for electronic applications submitted through eWell.

• If necessary, provide the following information to your bank to prevent debit blocking on the payments processed through Pay.gov: ACH Company ID =1422000004.

• To request a refund, visit https://www.bsee.gov/who-we-are/working-with-us/Fees-for-Services

Accepted Payment Methods:

• Bank account (ACH)
• Debit or credit card