Loading
Form preview
  • US Legal Forms
  • Form Library
  • Independent Agency Forms
  • Independent Agency SSA Forms
  • Ssa-3105 2017

Get Ssa-3105 2017-2026

Return the Form SSA-3105 04-2013 If you request Reconsideration the participate in the original overpayment decision. from the date of this notice we will not start to withhold any part of your benefits. Privacy Act Statement - Collection and Use of Personal Information Sections 204 1631 b and 1870 of the Social Security Act as amended authorize us to collect this information* We will use the information you provide to make a determination on waiving overpayment recovery or changing your repayment rate. Furnishing us this information is voluntary. However failing to provide all or part of the information could prevent us from approving your request. We rarely use the information you supply for any purpose other than for determining a waiver or change in the repayment rate of an overpayment recovery. However we may also disclose information to another person or to another agency in accordance with approved routine uses which include but are not limited to the following 1. To enable a th....

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-3105 online

This guide provides clear instructions for users on how to complete the SSA-3105 form online. Whether you are requesting a waiver for overpayment recovery or seeking a reconsideration, this step-by-step guide will assist you in filling out the necessary information accurately and efficiently.

Follow the steps to fill out the SSA-3105 online effectively.

  1. Press the ‘Get Form’ button to download the SSA-3105 form and open it in your preferred editor. This action will allow you to begin the process of filling out the form electronically.
  2. Review the Privacy Act Statement at the beginning of the form to understand how your information will be collected and used. This section outlines the importance of providing accurate information.
  3. Fill in your personal details, including your name, Social Security claim number, address, and daytime telephone number. Ensure that all information is accurate to avoid processing delays.
  4. In the section regarding the request for reconsideration or waiver, clearly indicate whether you are requesting a reconsideration, a waiver, or both. Be precise in your explanation of the overpayment issue.
  5. If applicable, specify any proposed deductions from your benefits to repay the overpayment, or indicate how you plan to repay if you are no longer receiving benefits.
  6. Double-check all entered information for accuracy. It's important to review your entries to prevent any mistakes that could impact your request.
  7. Once everything is complete, save your changes. You may chose to download, print, or share the completed form as needed for submission.

Take action today and fill out the SSA-3105 online to manage your Social Security overpayment effectively.

Get form

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

Related content

Important Information About Your Appeal, Waiver...
Form SSA-3105 (12-2017). Discontinue Prior Editions. Social Security Administration. Page...
Learn more
SSR 94-4p
Jul 11, 1994 - Purpose: To state the longstanding Social Security Administration (SSA)...
Learn more

Related links form

New Jersey Tax Municipality Codes Pdf Fillable Preliminary Conference Suffolk Supreme Chase Premier Plus Checking Zero Income Affidavit - Missouri Department Of Health & Senior ... - Health Mo

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
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-3105
Get form
  • 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
  • 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
  • Legal Hub
  • 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
  • Real Estate Handbook
  • All Guides
  • Notarize
  • Incorporation services
  • For Consumers
  • For Small Business
  • For Attorneys
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
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
  • Legal Hub
  • 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
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
© Copyright 1999-2026 airSlate Legal Forms, Inc. 3720 Flowood Dr, Flowood, Mississippi 39232
  • Your Privacy Choices
  • Terms of Service
  • Privacy Notice
  • Content Takedown Policy
  • Bug Bounty Program