A. Description of the SSA-3105 We enclose form SSA-3105, “Important Information about Your Appeal, Waiver Rights, and Repayment Options,” with all Title II initial overpayment notices. This form gives overpaid individuals additional information regarding their reconsideration and waiver rights.

l Report of Confidential Social Security Benefit Information (SSA-2458). This is a report sent to the client, although a third party may have requested the information. l Annual notice of cost of living adjustment (COLA) sent to the client by SSA.

You can withdraw your benefits, pay the money back and allow your future benefit to grow as if you never enrolled in the first place. To withdraw your benefits, you must fill out a special form from the Social Security Administration, stating the reason for your withdrawal.

If you agree that you have been overpaid, but you feel you should not have to pay it back because you did not cause the overpayment and you cannot afford to repay it, you should file Form SSA-632, Request for Waiver of Overpayment Recovery.

Use an SSA-795 whenever a signed statement is required or desirable, except when we request some other form or questionnaire or we can readily adapt for the statement. Prepare an SSA-795 using the claimant's own words whenever possible.

How Can Your Organization Apply to Be Authorized As A FFS Payee? Your organization must complete a form SSA-445, Application to Collect a Fee for Payee Services and submit the form with the supporting documentation to your local Social Security office.

SSA-787: Physician's/Medical Officer's Statement of Patient's Capability to Manage Benefits (PDF) SSA-1699: Registration for Appointed Representative Services (PDF)