WAV001 OVERPAYMENT RECONSIDERATION AND WAIVER INFORMATION - INITIAL OVERPAYMENT NOTICE -REFUND REQUESTED, ADJUSTMENT NOT PROPOSED (A07) (F07)

(System Generated)

Caption: You Have The Right To Request A Waiver

 (1)  may not have to pay us back. Sometimes we can waive the overpayment. You may request a waiver if,

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  you think the overpayment was not  (2)  fault; and

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   (3)  cannot afford to pay the overpayment back because  (4)  could not pay  (5)  bills for food, clothing, housing, medical care, or other necessary expenses, or you think the overpayment is unfair for other reasons.

If you request a waiver within 30 days from the date of this letter, we will not collect the overpayment until we notify you of our waiver determination. There is no time limit on the right to request waiver. Even if you request a waiver after 30 days or if we previously asked you to refund the overpayment, we will not collect the overpayment until we notify you of our waiver determination.

If we cannot approve the waiver request, we will send you a letter automatically scheduling a file review and Personal Conference. At the Personal Conference, you or  (6)  representative may provide additional information to support your waiver request. Also, you and  (7)  representative may present witnesses on  (8)  behalf and, if you wish, question any witnesses that we used in making the determination we reviewed.

We will notify you in writing of the result of the waiver request, and whether  (9)  must repay the overpayment. That notice will explain your right to appeal the waiver determination. If you do not want a Personal Conference, you still have the right to appeal.

Notify us promptly if you would like to request a waiver. If the overpayment amount is over $2,000, you can request a waiver by completing and submitting the SSA-632 Form, “Request for Waiver of Overpayment Recovery at  (10)  . Customers with an online Social Security account can now submit some documents electronically to us. Create or sign in to your my Social Security account at  (11)  and select “Upload Documents.” You may also submit the form by mail or in person to your local SSA field office. The field office’s mailing address is available through SSA’s website at  (12)  . If you need help filling out and submitting the form, we can help you by phone or in person. If your overpayment is $2,000 or less, contact us at the phone number located at the bottom of this letter.

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