TN 31 (02-97)

NL 00703.171 Personal Conference and Folder Review Scheduled — Waiver

Document Identifier for Aurora: E3171

DPS Notice: Personal Conference and Folder Review (Waiver/Recon)


You recently requested that we waive the collection of your overpayment of $ (1) . Based on the facts we have now, we cannot approve your request. However, you have a right to meet with us before we decide if you have to pay back the overpayment. This meeting is called a personal conference. A person who has not made any decision about your waiver request will meet with you. I am writing to schedule this meeting.

You also have a right to review your file before the personal conference. I am scheduling a time for this meeting as well.

Some Important Dates

We have scheduled a time for you to review your file. This will help you get ready for your conference. You can review the file on (2) at (3) at this office. I will make sure that someone is available to help you when you come in for this review. You may bring a lawyer, friend or someone else to help you review your file.

We have scheduled your personal conference for (4) at (5) at this office. You will meet with (6) on that day.

What Happens At a Personal Conference

At the personal conference, you will meet with the person who will decide your waiver request. You can tell this person why you think you should not have to pay us back. At the meeting you can also do the following things.

  • You can have a lawyer, friend or someone else help you with your case.

  • You can bring other people to help explain your case.

  • You can review your file again, and add any new facts you have.

  • You can question the facts we have and the people who gave them.

You need to show us proof of your monthly income, expenses, and assets. Examples are pay stubs, pension records, rent receipts, utility bills, and bank statements.

If You Have Any Questions

If you have any questions, please call (6) at the telephone number shown on page 1. If you cannot come in at the times scheduled, please let us know. We will arrange new dates and times.



  1. (1) 

    overpayment amount

  2. (2) 

    date of folder review

  3. (3) 

    time of folder review

  4. (4) 

    date of personal conference

  5. (5) 

    time of personal conference

  6. (6) 

    name of interviewer


Use Form SSA-L2000-C2 (Universal Notice) and follow the notice standards. Because the requested fill-ins and paragraphs may vary according to different situations, follow the requester's instructions carefully.

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NL 00703.171 - Personal Conference and Folder Review Scheduled — Waiver - 08/19/2016
Batch run: 08/19/2016