Loading
Form preview
  • US Legal Forms
  • Form Library
  • Independent Agency Forms
  • Independent Agency SSA Forms
  • Ssa-632-bk 2002

Get Ssa-632-bk 2002

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.

This website is not affiliated with any governmental entity

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the SSA-632-BK online

The SSA-632-BK form is designed to request a waiver of overpayment recovery or a change in repayment rate for benefits received from the Social Security Administration. This guide provides clear and step-by-step instructions on how to effectively complete this form online, ensuring a thorough understanding of each section.

Follow the steps to complete the SSA-632-BK form online.

  1. Press the ‘Get Form’ button to access the SSA-632-BK form and open it in your online editor.
  2. Provide your name and Social Security Number where indicated, as well as the name and Social Security Number of the person for whom you are making the request.
  3. In the next section, check any relevant boxes that describe your situation regarding the overpayment and indicate the amount you can afford to pay back each month.
  4. Answer questions related to the overpayment, including details about how and why it occurred, and whether you informed the SSA about any relevant changes.
  5. Complete the financial statement section thoroughly. This includes listing your current income, household members, and any assets you or your household possess.
  6. List your monthly household expenses, ensuring each category is accounted for. Provide breakdowns for any recurring expenses that are necessary for your living.
  7. After calculating your total income and expenses, fill in the comparison section to provide clarity on your financial situation.
  8. Complete the certification at the end of the form by signing it and providing your contact information.
  9. Review all provided information for accuracy, then proceed to save changes, download, print, or share the completed form electronically.

Complete your SSA-632-BK form online to streamline your waiver or repayment request process.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

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

Related links form

CSF 01 0353B 2013 CSN SA-011 2016 CSN Transfer In Form 2014 CSSU Teacher Supervision & Evaluation Feedback Form

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

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.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get SSA-632-BK
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
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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 1997-2026
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
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
SSA-632-BK
This form is available in several versions.
Select the version you need from the drop-down list below.
2014 SSA-632-BK
Select form
  • 2014 SSA-632-BK
  • 2009 SSA-632-BK
  • 2002 SSA-632-BK
Select form