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Treas. gov Debt Management Services Attn AWG Analyst Post Office Box 830794 Birmingham Al 35283-0794 If you object to garnishment of your wages for the debt mentioned above you can use this form to request a hearing. Hearing Request Administrative Wage Garnishment MAIL OR FAX FORM TO FAX 855 292-9623 EMAIL AWGhearingrequest fms. Please check the appropriate bo x es below. Your request for a hearing must be in writing signed and delivered to the address above. EXPLAIN any additional facts concerning your objection on a separate sheet of paper and together with all supporting documentation enclose it with this request. Your objection s will be considered based on the information and documents you provide with this form and any records held by the agency. NOTE You must provide a signed financial statement along with copies of earnings and income records and proof of expenses. To obtain a copy of the financial statement form go to http //fms. treas. gov/debt/consumerfinstmt. pdf or call the number listed above. NOTE You must attach documentation from your employer showing the date you were hired in your current job and documentation from prior employer showing termination*. Please check the appropriate bo x es below. Your request for a hearing must be in writing signed and delivered to the address above. EXPLAIN any additional facts concerning your objection on a separate sheet of paper and together with all supporting documentation enclose it with this request. EXPLAIN any additional facts concerning your objection on a separate sheet of paper and together with all supporting documentation enclose it with this request. Your objection s will be considered based on the information and documents you provide with this form and any records held by the agency. Your objection s will be considered based on the information and documents you provide with this form and any records held by the agency. NOTE You must provide a signed financial statement along with copies of earnings and income records and proof of expenses. NOTE You must provide a signed financial statement along with copies of earnings and income records and proof of expenses. To obtain a copy of the financial statement form go to http //fms. treas. gov/debt/consumerfinstmt. To obtain a copy of the financial statement form go to http //fms. treas. gov/debt/consumerfinstmt. pdf or call the number listed above. NOTE You must attach documentation from your employer showing the date you were hired in your current job and documentation from prior employer showing termination*. Please check the appropriate bo x es below. Your request for a hearing must be in writing signed and delivered to the address above. EXPLAIN any additional facts concerning your objection on a separate sheet of paper and together with all supporting documentation enclose it with this request. Your objection s will be considered based on the information and documents you provide with this form and any records held by the agency.

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Keywords relevant to Fms Hearing Request Form

  • garnishment
  • Attn
  • enclose
  • gov
  • earnings
  • Termination
  • documentation
  • administrative
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