Revised PS Form 3074, Request for Waiver of Claim for Erroneous Payment of Pay

Effective immediately, all Post Offices™ and postal retail units are to use the September 2010 edition of PS Form 3074, Request for Waiver of Claim for Erroneous Pay­ment of Pay. Previous versions are obsolete and must be disposed of properly.

Eagan Accounting Services will process only a Septem­ber 2010 version of PS Form 3074 that is properly com­pleted with all required signatures. Obsolete versions and incomplete PS Forms 3074 will not be processed and will be returned to the employee.

PS Form 3074 is revised as follows:

n The Social Security Number has been replaced with Employee Identification Number (EIN).

n The word “Retired Employee” has been removed under Claimant’s Status in part 1. Employees who are not currently employed by the Postal Service™ will choose the “Former Employee” status.

n The Privacy Act Statement has been updated.

n A distribution list has been added to the bottom of each copy.

n Position titles have been updated in parts 2, 3, and 4.

n Instructions were added for manager, Human Resources (District) in part 3.

n “Printed name” and “Phone number” sections have been added in parts 2, 3, and 4.

n A “Claim Denied” section was added to part 4.

n The mailing address for Eagan has been added to the bottom of page 2.

PS Form 3074 is available on the Postal Service Intranet:

n Go to

n Under “Essential Links” in the left-hand column, click Forms.

n Under “Browse Forms — By Number”, click 30003999.

n Click the PDF icon for PS 3074.

Additionally, you can order PS Form 3074 from the Material Distribution Center (MDC) via the eBuy on-catalog requisition system; search for item using the PSN listed below (without the dashes). If your office does not have access to eBuy, you may order using touch-tone order entry (TTOE): Call 800-273-1509.

Note: You must be registered to use TTOE. To register, call 800-332-0317, option 1, extension 2925, and follow the prompts to leave a message. (Wait 48 hours after register­ing before placing your first order.)

Use the following information to order PS Form 3074 from the MDC:

PSIN: PS 3074

PSN: 7530-03-000-3700

Unit of Measure: EA

Minimum Order Quantity: 1

Quick Pick Number: NA

Bulk Pack Quantity: NA

Price: $0.0663

Edition: 09/10