Debt Collection Resources for Cross-Servicing Debtors

If you have a debt being serviced by the Cross-Servicing program, please use the forms below if you would like to:

• authorize another person to receive information about your debt,
• dispute your debt,
• complete financial paperwork to be considered for a repayment agreement based on your ability to pay; or
• claim your portion of a joint tax refund payment that was offset for your spouse’s debt.

You may want Cross-Servicing to talk to a third party about your bill:

Authorization for Release of Information (Form 13): Authorizes Fiscal Service, its employees, agents, and contractors to disclose to a named representative, all information related to a debt owed to a federal or state agency.

  Download Form 13 (English) | Descargar Formulario 13 (Español)

Debtor Dispute Form. If you do not agree that you owe the amount listed on the notice you received from Cross-Servicing, you may dispute all or part of your debt.

Download Debtor Dispute Form PDF

 

You may be able to pay in installments or obtain other relief based on your ability to pay:

Consumer and Commercial Debtor Financial Statements.

If you would like to be considered for a payment agreement or other form of financial relief, you must complete a financial statement and provide all supporting documentation.

Consumer Financial Statement PDF (English) | (Español)

Commercial Financial Statement PDF (English)  | (Español)

Offset of a Joint Tax Refund Payment: Injured Spouse Allocation:

You may use Internal Revenue Service (IRS) Form 8379 to claim your portion of a joint tax refund payment that was offset for your spouse’s debt. 

If you have questions about the form or need help completing it, call your local IRS office or 800-829-1040.