The authorization form used by the County Welfare Agencies (CWA) is the "Authorization
for Reimbursement of Initial SSI Payment or Initial Post-eligibility Payment (PA-30)-AFDC-N".
Reimbursement for assistance provided under the AFDC-N Segment program will be made
directly to the individual counties. Upon receipt of the initial SSI check, the CWA
will withhold the amount of assistance granted during the interim period and return
the balance, if any, to the individual with a written explanation on a "Repayment
of Interim Assistance Authorization (PA-31) - AFDC-N Segment Assistance" form showing
how the balance was calculated within 10 working days from the date they received
the check . CWAs will complete the locally overprinted SSA-8125 and forward the completed
SSA-8125 directly to the Program operations Center (POS), 26 Federal Plaza, Room 4032
New York, N.Y. 10278, ATT: IAR. Recipients who dispute the apportionment of the retroactive
check have the right to request an administrative review. The address and telephone
number are included on the authorization and apportionment forms. (See SI NY02003.080 for large retroactive checks due after 12/01/96.)