Notice of Reclamation

OMB 1530-0003

A program agency authorizes Treasury to recover payments that have been issued after the death of the beneficiary. FMS Form 133 is used to notify the financial institution. If the financial institution does not respond to the FMS-133, a debit request (Form 135) is sent to the Federal Reserve Bank.

The latest form for Notice of Reclamation expires 2022-10-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form FMS-133 Notice of Reclamation Form
1530-0003_Supporting Statement_2022final.docx Supporting Statement A
Notice of Reclamation Form

All Historical Document Collections

202210-1530-001 Approved without change	Extension without change of a currently approved collection	2022-10-27
201812-1530-005 Approved without change	Extension without change of a currently approved collection	2019-01-31
201510-1530-005 Approved without change	Extension without change of a currently approved collection	2015-10-30
201407-1530-003 Approved without change	Revision of a currently approved collection	2014-07-11