TN 3 (05-92)
Notice of Overpayment forms are the same for both manual and automated notices, except
that AONS notices treat Form SSA-4017 (Payment Stub) as the last page of the AONS
NOTE: AONS notices do not address penalty notification. However, do not suppress an AONS
notice for this reason alone. If you decide to assess a penalty, send a separate penalty
notice after release of the AONS notice.
In addition to offering the repayment options in C. below, the Notice of Overpayment
must give the following information:
The cause of the overpayment;
The amount of the overpayment and the months it occurred;
A statement of the individual's right to appeal the overpayment determination; and
The right to request relief from recovery (waiver) of the overpayment.
NOTE: The Notice of Overpayment also has an attachment page, A Detailed Explanation of
Your Overpayment, which you must always complete following instructions in NL 00803.125.
Use the following chart to choose the correct manual Notice of Overpayment form to
send an overpaid individual.