• Agencies

FMCSA Insurance Fee Billing

Description: Utilize this form to process payments for FMCSA Insurance Fee Billing.
Form Number: FMCSA Insurance Fee Billing
Agency: DOTFMCSA

FMCSA Self-Insurance Application Fee

Description: Utilize this form to process payments for FMCSA Self-Insurance Application Fee.
Form Number: FMCSA Self-Insurance Application Fee
Agency: DOTFMCSA

Office of Personnel Management (OPM) Life Insurance form

Description: Please use this form to pay your life insurance premiums.
Form Number: Life Insurance

VA Life Insurance Payments

Description: Collection of Premium and Loan Payments for VA Life Insurance Policies
Form Number: VA Life Insurance Payments

PBGC Insurance Premium Payments

Form Number: PBGC Premium Insurance Program

CMS Health Insurance Marketplace and Premium Stabilization Programs Payment Form

Description: Please use this form to pay amounts owed related to the Health Insurance Marketplace and Premium Stabilization Programs. Additionally, if necessary, provide the following information to your bank to prevent debit blocking on the payments processed through Pay.gov on your dunning letter/invoice: ACH Company Name: USDEPTHHSCMS...Agency Company ID: 7505008014
Form Number: HHSCIIO
OMB Number: 0938-1187

Maritime War Risk Insurance Premiums

Description: Please use this form to pay your Maritime War Risk Insurance Premiums.
Form Number: MARAD War Risk Ins

Write Your Own Insurance Online Payment Form

Description: Use this form to make a payment to the FEMA's Write Your Own Insurance Program
Form Number: FEMA WYOI

SGLI and FSGLI Premium Payments for Navy Reserves

Description: For Navy Reserve members that have received a billing statement, use the SGLI and FSGLI Premium Payments form to pay your Servicemembers' Group Life Insurance (SGLI) and Family Servicemembers' Group Life Insurance (FSGLI) premiums. The billing statement will include an employee ID number vs. a social security number to use on the pay.gov form.
Form Number: Navy Reserve SGLI FSGLI

Air Taxi Registration Fee

Description: Use this form to submit the filing fee for the initial registration of an air taxi operator under 14 CFR Part 298 in conjunction with an OST Form 4507 processed by the FAA Air Transportation Division, AFS-260. Will integrate with by the FAA Air Transportation Division, AFS-260. Will integrate with the online Economic Authority and Insurance Management (EAIM system once implemented.
Form Number: OST Form 4507 Air Taxi Reg. Fee
OMB Number: Air Taxi Reg Fee

Department of Transportation Federal Motor Carrier Safety Administration

Description: Use this form to pay miscellaneous payment including ICC (Interstate Commerce Commission) insurance payments and travel overpayments.
Form Number: FMCSA Misc
Agency: DOTFMCSA

Employer's Payment of Unemployment Contributions

Description: Use of this form is for payment only of your quarterly railroad unemployment insurance contributions.
Form Number: UIC payment

Office of the Chief Financial Officer - United States Secret Service Collection

Description: Use this form to pay for Travel Advance paybacks, Insurance payments, Vendor payments, Gas & Oil, Restitution, and Overpayments.
Form Number: DHS USSS

RRB Unemployment Sickness Debt Collection

Description: Use this form to repay erroneous benefits paid under the Railroad Unemployment Insurance Act.
Form Number: RUIA Debt Repayment

SGLI Premium Payment for Marine Reserves

Description: For Marine Reserve members that need to make a Service members Group Life Insurance (SGLI) premium payment.
Form Number: Cleveland PAYGOV001

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