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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.

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