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Request a Settlement Below Your Authority

Request a Settlement Below Your Authority

Please make sure all answers are accurate.  If we cannot locate the account, your request will be rejected and you will have to re-submit a new form.   You will be notified of our decision via email reply to the address used to create this request.  If you need help please email: support@uhgllc.com. 
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    Exactly as it appears in the placement file from Beam or Debt Next. You MAY NOT use the issuer account ID.
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    Exactly as it appears in your outsource file.
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    Exactly as outsourced by UHG
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    Current state of residence
    select a state
    • select a state
    • Alabama - AL
    • Alaska - AK
    • American Samoa - AS
    • Arizona - AZ
    • Arkansas - AR
    • California - CA
    • Colorado - CO
    • Connecticut - CT
    • Delaware - DE
    • District of Columbia - DC
    • Federated States of Micronesia - FM
    • Florida - FL
    • Georgia - GA
    • Guam - GU
    • Hawaii - HI
    • Idaho - ID
    • Illinois - IL
    • Indiana - IN
    • Iowa - IA
    • Kansas - KS
    • Kentucky - KY
    • Louisiana - LA
    • Maine - ME
    • Marshall Islands - MH
    • Maryland - MD
    • Massachusetts - MA
    • Michigan - MI
    • Minnesota - MN
    • Mississippi - MS
    • Missouri - MO
    • Montana - MT
    • Nebraska - NE
    • Nevada - NV
    • New Hampshire - NH
    • New Jersey - NJ
    • New Mexico - NM
    • New York - NY
    • North Carolina - NC
    • North Dakota - ND
    • Northern Mariana Islands - MP
    • Ohio - OH
    • Oklahoma - OK
    • Oregon - OR
    • Palau - PW
    • Pennsylvania - PA
    • Puerto Rico - PR
    • Rhode Island - RI
    • South Carolina - SC
    • South Dakota - SD
    • Tennessee - TN
    • Texas - TX
    • Utah - UT
    • Vermont - VT
    • Virgin Islands - VI
    • Virginia - VA
    • Washington - WA
    • West Virginia - WV
    • Wisconsin - WI
    • Wyoming - WY
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    Month & Year As It Appears In Your System
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    Month & Year As It Appears In Your System
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    First payment date if multiple payments
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    Including the first payment
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    THIS IS WHERE YOU STATE WHY YOU NEED THIS SETTLEMENT All settlements below your allowable authority requires UHG authorization.  All settlements are subject to audit.  If you cannot provide evidence of an approved SIF request, your agency will be responsible for the difference in any unauthorized settlement.
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