Judgment Fund Group U.S. Postal Service Department of the Treasury Law Department Financial Management Service Claims Division Prince George's Metro Center 2 Washington, D.C. 20260 3700 East-West Highway Mailstop 6D37 Hyattsville, MD 20782 (Telephone: 202-874-8380)
Re: (Case Name and Court Docket No.)
Dear Sir or Madam:
I am the authorized representative of the United States in the captioned matter. As described in the enclosed documentation, I certify that the award made in the enclosed judgment or settlement is payable by the United States. The United States will seek no further judicial review of this award, and I have obtained all approvals necessary for its referral for payment. [No interest is to be paid on this amount, as is indicated on the Judgment Fund Award Data Sheet].
I request that you certify this award for payment from the Judgment Fund established by 31 U.S.C § 1304. Enclosed are completed copies of FMS 196: Judgment Fund Award Data Sheet; the Joint Stipulation for Entry of Judgment, indicating acceptance of the award, the judgment or settlement agreement; and any other enclosures required by FMS regulations. Unless payment by electronic funds transfer is indicated on FMS 196, please have the check issued to [name of party] and sent to counsel for the plaintiff, as indicated in item 4(a) of FMS 196.
Counsel for plaintiff who was provided a copy of this correspondence, will submit a separate request for payment on plaintiff's behalf, along with the transcript of the court's judgment. Any questions about this request should be directed to ______________________, the attorney who handled this case. Thank you for your prompt attention to this matter.
(Name Title, and Branch, Section or District)
Branch or Section Division U.S. Department of Justice Washington, D.C. 20530
Opposing counsel Full address of opposing counsel