[fusion_builder_container hundred_percent=”no” equal_height_columns=”no” menu_anchor=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” background_color=”” background_image=”” background_position=”center center” background_repeat=”no-repeat” fade=”no” background_parallax=”none” enable_mobile=”no” parallax_speed=”0.3″ video_mp4=”” video_webm=”” video_ogv=”” video_url=”” video_aspect_ratio=”16:9″ video_loop=”yes” video_mute=”yes” video_preview_image=”” border_size=”” border_color=”” border_style=”solid” margin_top=”” margin_bottom=”” padding_top=”” padding_right=”” padding_bottom=”” padding_left=””][fusion_builder_row][fusion_builder_column type=”1_1″ layout=”1_1″ spacing=”” center_content=”no” hover_type=”none” link=”” min_height=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” background_color=”” background_image=”” background_position=”left top” background_repeat=”no-repeat” border_size=”0″ border_color=”” border_style=”solid” border_position=”all” padding=”” dimension_margin=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=”” last=”no”][fusion_imageframe image_id=”179″ style_type=”none” stylecolor=”” hover_type=”none” bordersize=”” bordercolor=”” borderradius=”” align=”center” lightbox=”no” gallery_id=”” lightbox_image=”” alt=”” link=”” linktarget=”_self” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=””]http://37.60.231.87/~chris853/famspaymentonline/wp-content/uploads/2017/08/Bannerconfirm.jpg[/fusion_imageframe][/fusion_builder_column][fusion_builder_column type=”1_1″ layout=”1_1″ spacing=”” center_content=”no” hover_type=”none” link=”” min_height=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” background_color=”” background_image=”” background_position=”left top” background_repeat=”no-repeat” border_size=”0″ border_color=”” border_style=”solid” border_position=”all” padding=”” dimension_margin=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=”” last=”no”][fusion_text]Note: Please allow two business days for FAMS to process Cellular Phone Authorization forms. By providing this choice of contact methods, FAMS is not waiving its right to contact you via a different telephone number if FAMS is unable to communicate with you via your cellular telephone number. By submitting this Cellular Phone Consent Form to Financial Asset Management Systems, Inc. (FAMS), I hereby authorize FAMS to contact me via the following cellular phone number during the hours permitted by the Fair Debt Collection Practices Act (FDCPA), i.e., between 8 AM and 9 PM daily in my local area code.[/fusion_text][/fusion_builder_column][fusion_builder_column type=”1_1″ layout=”1_1″ spacing=”” center_content=”no” hover_type=”none” link=”” min_height=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” background_color=”” background_image=”” background_position=”left top” background_repeat=”no-repeat” border_size=”0″ border_color=”” border_style=”solid” border_position=”all” padding=”” dimension_margin=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=”” last=”no”][fusion_text]

We recognize that communications from consumers are time-critical. FAMS’ intention is to handle your notification promptly upon receipt. However, if we do not have sufficient information to locate and identify the correct account, we will not be able to act on your notification or inquiry. Please provide as much identifying information as possible by completing the fields below. We appreciate your cooperation.

    Name As It Is Listed On Account*

    First Name

    Last Name

    Middle Name/Initial

    Are You The Account Holder?*
    YesNo

    13 Digit FAMS ID Number

    Last 4 Digits of Account Holder SSN

    Find Your FAMS ID

    Name the entity to whom the debt is owed. (Not FAMS)

    Input the account number you have with the entity to whom the debt is owed. (Not FAMS)

    Address On Account

    City

    State

    ZIP code

    By providing your e-mail address and/or cell phone number to FAMS, you confirm your authorization for FAMS to communicate with you via e-mail and/or cell phone. If at any time you no longer wish to be contacted via email/cell phone, please notify FAMS immediately.

    Email Address*

    Confirm Email Address*

    Is This Your Email Address? *
    YesNo

    Home Phone Number

    Alternate Phone Number

    Cellular Phone Number

    Best number at which to reach you?

    Account Type*

    [/fusion_text][fusion_text]

    Click here for additional state notifications.

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