TN 31 (02-97)

NL 00703.186 SPA Overpayment Notice, Initial Overpayment Notice Previously Sent, No Recovery Action Being Taken, Overpaid Beneficiary in Terminated Status

Document Identifier for Word Processor: E3186

A. EXHIBIT LETTER

We wrote you (1) to let you know that we overpaid you $ (2) in Social Security benefits and how this overpayment happened. We told you about your right to question our decision. We also told you what to do if you thought the overpayment was not you fault or if you could not afford to pay it back.

You still owe us $ (3) . Please read this letter carefully because it gives you important information about your rights. It also tells you how to pay back the money you owe.

 

Your Right To Question Our Decision

When we wrote to you before, we said you had 60 days to ask us to review the overpayment decision. We call this a reconsideration. Even though the 60-day period is over, you can still ask for a reconsideration if you have a good reason for taking longer than 60 days to do this.

 

If You Think You Should Not Have to Pay Us Back

You can also ask us to waive, or excuse, collection of your overpayment. You will not have to pay us back if:

  • It was not your fault that we paid you too much, AND

  • One of the following is also true:

    —Paying the money back would mean you could not pay your bills for important things like food, clothing, housing or medical care; OR

    —It would be unfair if you had to pay the money back.

If you ask us to waive your overpayment and we decide not to waive it, we will:

  • Send you a letter to let you know our reasons, AND

  • Give you a chance to meet with a Social Security representative to talk about our decision. We call this a personal conference.

     

How to Pay Us Back

3186A

To do this, you can write us a check or money order. Please make it out to the Social Security Administration. Be sure to put your Social Security claim number, which is shown above, on your check. Also, use the enclosed envelope to mail it to us.

If you can not pay back all of the money you owe us right away, you can:

  • give us some of the money, AND

  • tell us why you can not pay the full amount, AND

  • tell us how you plan to pay the rest.

OR

3186B

Please send us a check or money order for United States dollars, or you can send a check or money order in local currency equal to the United States dollars. When you pay us in local currency, we use the exchange rates in effect at the time we get your payment. If this causes a difference between the amount you pay us and the amount you owe us, we will let you know. If you cannot mail your payment directly to us, please go to the nearest U.S. Embassy or consulate. They will help you make the refund.

If you can not pay back all of the money you owe us right away, you can:

  • give us some of the money, AND

  • tell us why you can not pay the full amount, AND

  • tell us how you plan to pay the rest.

 

If You Want Help With Your Appeal1

3100E

 

If You Have Any Questions

3901C - Domestic
3901D - Foreign

 

Enclosure:

Refund Envelope

 

1 If the beneficiary has an attorney or lives outside the U.S., omit this paragraph.

B. REQUESTING INSTRUCTIONS

Use paragraph 3186A for domestic cases and paragraph 3186B for foreign cases. Refer to NL 00703.100 for 3100E text. See NL 00703.005E. for fill-in to 3901D.

C. TYPING INSTRUCTIONS

 

Fill-ins:

  1. Month/day/year that previous overpayment letter was sent, in the format:

    June 3, 1992

  2. Overpayment amount, in the format:

    637.50

  3. Overpayment amoun