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Get FMS 194 2003

Submitting Agency Authorized Signature Name and Title print or type Agency File Number Street Address City State and Zip Code General Instructions Use this form FMS 194 to transmit a request to certify an administrative or litigative award against the United States for payment from the Judgment Fund under 31 U.S.C. Judgment Fund Transmittal Date Department of the Treasury Financial Management Service 3700 East-West Highway Room 6E15 Hyattsville Maryland 20782 Telephone 202 874-6664 Claimant/Plai.

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