The document is a model letter intended for individuals addressing overpayment issues related to Supplemental Security Income (SSI) in Nassau. It serves as a template that users can adapt to their specific needs, detailing the circumstances surrounding the overpayment, including the amount received from the state's Department of Finance and Administration. Key features of the form include the inclusion of a payment voucher and details about the check received. It is designed for users such as attorneys, partners, owners, associates, paralegals, and legal assistants to facilitate communication with relevant authorities. The form encourages clear communication and provides a formal tone while allowing room for personalization. To fill out the form, users should provide accurate date, name, address, and specifics of the overpayment. This document is particularly useful when addressing misunderstandings regarding SSI payments and can assist legal professionals in resolving client issues efficiently.