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  • Ssa-632-bk 2002

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Ide if we can waive collection of the overpayment or change the amount you must pay us back each month. If we can't waive collection, we may use this form to decide how you should repay the money. ROAR Input Yes No Input Date Waiver Please answer the questions on this form as completely as you can. We will help you fill out the form if you want. If you are filling out this form for someone else, answer the questions as they apply to that person. Approval Denial SSI Yes AMT OF OP $ PERIOD.

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Related content

Form SSA-632 | Request For Waiver Of Overpayment...
If you agree that you have been overpaid, but you feel you should not have to pay it back...
Learn more
Seeking Waiver of a Social Security or SSI...
eficiaries and the agency personnel who work with them can use this newsletter as a guide...
Learn more

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If you no longer receive SSI or SSDI, Social Security will request the full amount of the overpayment from you, but you can negotiate a repayment plan to pay it back over time. If you don't pay it back, Social Security can take your federal tax return and take other measures.

We don't start deducting money from your SSI payments until at least 60 days after we notify you of the overpayment. If you no longer receive SSI, but you do receive Social Security, you can pay back your SSI overpayment by having up to 10 percent of your monthly Social Security benefit withheld.

Is There A Statute of Limitations That Applies To Overpayment Determinations? Yes. SSA's regulations limit the time period within which a previous determination may be reopened or revised. For Supplemental Security Income (SSI) benefits, that time period is 2 years.

How do I ask for a waiver? You can ask SSA to waive (excuse you from paying) the overpaid amount. To do this, you must file a Request for Waiver (SSA Form 632). You can get the form at an SSA office, call them and ask that they mail you the form, or get it online.

0:23 2:25 Suggested clip How to Fill SSA-561-U2 Request for Reconsideration with PDFfiller ...YouTubeStart of suggested clipEnd of suggested clip How to Fill SSA-561-U2 Request for Reconsideration with PDFfiller ...

Name of the number holder. Social security number. Name of the person(s) for whom you are filing (claimant) Claimant's social security number. Indication if you are the claimant and what your benefits paid directly to you.

If you do not agree that you have been overpaid, or if you believe the amount is incorrect, you can appeal by filing Form SSA-561, Request for Reconsideration. You should explain why you think you have not been overpaid or why you think the amount is not correct.

Name. Social security number. Name of overpaid person making request and his or her social security number(s) Indicate if any of the following apply: ... Section I - Information About Receiving the Overpayment. ... Section II - Your Financial Statement.

You may call the Social Security Electronic Records Express Help Desk at 1-866-691-3061 or send them an email at electronic-records-express@ssa.gov, or you should contact the office where you are sending the document or the office that requested the information.

RECONSIDERATION A request for a reconsideration on a disability claim or non-disability issue can also be completed online at www.ssa.gov. You or your representative must ask in writing for reconsideration within 60 days of the date you receive the written notice of the initial determination.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
SSA-632-BK
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