Ps form 3074-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name in the 'Claimant’s Name' field, ensuring you include your last name, first name, and middle initial.
3. Input your Employee Identification Number (EIN) in the designated field.
4. Select your status as either an Active Employee or Former Employee by checking the appropriate box.
5. Fill in your home address, including street, city, state, and ZIP code. If applicable, include your apartment number.
6. Specify the period covered by the erroneous payment of pay using the MM/DD/YYYY format.
7. Indicate the amount you are requesting for waiver in the corresponding field.
8. Provide details about the organization to which you were assigned during the specified period.
9. Describe the nature of the erroneous payment and attach any necessary documents if required.
10. Complete any additional sections regarding supervisor inquiries and repayment details as needed before submitting.

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