• Agencies

Bureau of Reclamation : Bureau of Reclamation Online Bill Pay

Description: This form is to pay a bill of collection you received from the Bureau of Reclamation.
Form Number: BOR Bill Pay
OMB Number: Form DI-1040

SEC Current and Former Employee Collections

Description: Please use this form to pay SEC your employee debts. Some of the types of payments you can make on this form include student loans and salary overpayments.
Form Number: SEC Employee Debt

BIA: San Carlos Irrigation Project (SCIP) Power Bill

Description: Please use this form to pay your SCIP Power Bill.
Form Number: BIA SCIP Power Bill

Iwakuni Unofficial Telephone Statement

Description: Use this form to pay your MCAS Iwakuni telephone bill.
Form Number: Iwakuni Phone Bill

MCBButler-Okinawa Unofficial Telephone Service Payment

Description: Use this form to pay your MCB telephone bill
Form Number: MCBButler Phone Bill

NPS Bill of Collection Payment

Description: Use this form to pay for bill of collection issued by NPS

BIA: Colorado River Agency - Electrical Service

Description: Please use this form to pay your electrical service power bill to the Colorado River Agency.
Form Number: BIA-DWP-Pwr-Pay-101

Reynolds Army Health Clinic UBO Payments

Description: Please use this form to pay your medical bills with the Reynolds Army Health Clinic. You can pay your medical bill with an electronic fund transfer from a financial institution or a debit or credit card. We also accept PayPal.
Form Number: RAHC UBO Payments

Monthly Report of Excess Rental Income- Section 236 Projects (Form HUD-93104)

Description: To calculate and certify total net excess income due HUD for the current month (Form HUD-93104 must be submitted by 10th of the month following the month covering this report)
Form Number: HUD 93104
OMB Number: 2502-0086

SEC Vendor Payments

Description: Commercial vendors should use this form to send the SEC refunds and rebates. This form should not be used by Current or Former SEC employees.
Form Number: SEC Vendor Payments

21st Medical Group (0252)

Description: Conveniently use this form to pay your bill received from 21st Medical Group/Peterson AFB (0252) or associated facilities for the medical service provided. You can pay with your credit card or an electronic fund transfer from your checking/saving account.
Form Number: DHA 21ST MDG Peterson AFB 0252

49th Medical Group Copy Record Charges

Description: Use this form to pay the bill received from 49th Medical Group Holloman AFB for medical record copying charges. You can pay with your credit card or an electronic fund transfer from your checking/savings account.
Form Number: 49th MDG HAFB NM

49th Medical Group Medical Service Payments

Description: Conveniently use this form to pay your bill received from 49 Medical Group (Holloman AFB) for the medical service provided. You can pay with your credit card or an electronic fund transfer from your checking/saving account.
Form Number: 49th MDG HAFB, NM

633rd Medical Group (0120)

Description: Conveniently use this form to pay your bill received from 633rd Medical Group for the medical service provided. You can pay with your credit card or an electronic fund transfer from your checking/saving account.
Form Number: 633rd MDG Langley AFB (0120)

673rd Medical Group/JBER (0006)

Description: Conveniently use this form to pay your bill received from 673rd Medical Group/Joint Base Elmendorf - Richardson (0006) or associated facilities for the medical service provided. You can pay with your credit card or an electronic fund transfer from your checking/saving account.
Form Number: DHA 673rd MDG JBER 0006

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