Congratulations, if you have been referred to this link, you have been approved for a payment plan with the Office of Special Counsel Andy Bowers.

Please complete the form below to provide your payment information.

Name

First Name

Last Name

Account Number (aka OAG #, Lead Account Number) found on all correspondence from our office.

Approved Payment Amount

Please enter the payment amount that was approved by this office.

Approved Frequency

Select the frequency option approved by this office

First Processing Date (must be within 30 days)

If weekly, please select the first withdraw date - payments will be processed every 7 days after the first processing date. If biweekly, please select the first withdraw date - payments will be processed every 14 days after the first processing date. If monthly - please select the first withdraw date - payments will be processed on the chosen date each month. Any date selected on the 31st will be processed on the last day of each month.

YYYY

Credit/Debit Card or ACH

If credit/debit card - please enter your 16 DIGIT ACCOUNT NUMBER; If ACH, please enter your ROUTING NUMBER

If credit/debit card - please enter card expiration; If ACH, please enter your BANK ACCOUNT NUMBER

If credit/debit card - please enter the 3 digit security code located on the back of your card.