The SSA-632-BK is the vehicle used to gather sufficient information about fault, financial
circumstances and against equity to enable SSA to make a waiver determination.
The form is also used:
To request a change in the rate of partial withholding if recovery will take more
than 36 months or the amount is less than $10 a month (GN 02210.045);
To report the overpayment to the Department of Justice for enforced collection (GN 02215.150);
When a compromise offer of less than 80 percent of the overpayment is offered (GN
While we encourage completion of the SSA-632-BK with the assistance of the FO interviewer
to ensure that the explanation of without fault agrees with the facts of the overpayment
and that the financial statements accurately reflect the person's current situation,
it can be completed without FO assistance.
When the form is needed, page one is always completed. It provides identifying information
and has check blocks to indicate why the form is being completed.
Section I is completed only if waiver is requested. It allows the person to explain
why he is without fault in causing the overpayment.
Section II captures financial information and is completed when any of the situations
mentioned above applies.