The person who determines the overpayment (generally the benefit authorizer) is responsible
for requesting this notice and providing the appropriate fill-ins.
Paragraph 3106A is used if cross-program adjustment is possible. Use 3107B, 3106B
and 3106D in all cases. Refer to NL 00703.106 for 3106A, 3106B and 3106D text and fill-ins.
Fill-ins:
-
(1)
amount of the overpayment (not including taxes withheld)
-
(2)
narrative overpayment explanation - A chart may be included following the explanation.
3107B |
(1) amount of the overpayment (not including tax withholding) |