Voucher and Payment Request Form

OMB 3045-0014

The Voucher and Payment Request Form is used by AmeriCorps members to request a payment from the education award account, by schools and lenders to verify eligibility for the payments, and by both parties to satisfy certain legal requirements.

The latest form for Voucher and Payment Request Form expires 2023-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 1 Voucher and Payment Request Form Form and Instruction
Voucher and Payment SSA.docx Supporting Statement A
30-Day_Voucher_01-26-23.pdf Supplementary Document
60-Day_Voucher_11-16-22.pdf Supplementary Document
Trust Payment and Forbearance Authorizing Citation.pdf Supplementary Document
Voucher and Payment Request Form Form and Instruction

All Historical Document Collections

202301-3045-002 Approved without change	Extension without change of a currently approved collection	2023-01-27
201909-3045-003 Approved with change	Reinstatement with change of a previously approved collection	2019-09-17
201606-3045-002 Approved without change	Reinstatement without change of a previously approved collection	2016-06-03
201302-3045-004 Approved with change	Revision of a currently approved collection	2013-02-05
201101-3045-001 Approved without change	Revision of a currently approved collection	2011-01-13
200710-3045-001 Approved with change	Revision of a currently approved collection	2007-10-24
200607-3045-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2006-07-06
200409-3045-001 Approved without change	Extension without change of a currently approved collection	2004-09-02
200301-3045-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2003-01-27
200104-3045-001 Approved without change	Revision of a currently approved collection	2001-04-20
199711-3045-001 Approved without change	Revision of a currently approved collection	1997-11-10
199407-3045-004 Approved without change	New collection (Request for a new OMB Control Number)	1994-07-14