Enroll in DNP

Agencies interested in enrolling in Do Not Pay should complete and submit the form below. After the information is reviewed, we’ll contact you.

*Please do not use this form for questions about debt, and do not send your Social Security Number, Tax Identification Number or any personally identifiable information to Do Not Pay.

Agency Name:

Program Name:

Contact Name:

Contact Phone Number:

Contact Email:

Types of payments agency makes:

Describe the agency payment process:

Causes of improper payments or awards:

Data sources currently used by the agency to prevent improper payments:

Data sources that would assist the agency in prevention of improper payments:

The decision point in the agency business process (vendor verification, beneficiary decision, debt collection/loan guarantee, grant decision at the point of payment or award, when enrolling clients, etc.) that would benefit most from DNP to assist in improper payments:

Are payments to you being reduced in order to pay a debt?

If you have received a delinquent debt notice or are missing money from your federal tax refund, paycheck, or federal benefits, you owe a debt. Learn about your options.

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Fact Sheet

DNP Fact Sheet

Guides

Forms

DNP Initial Questions Form

Last modified 09/16/20