TN 3 (05-92)
NL 00803.150 SSA-L8176-U2, SSI Notice of Overpayment (for Representative Payee)
The SSA-L8176-U2 is a manual form only. It provides representative payees with information about representative payee liability and waiver.
NOTE: The representative payee's copy of the AONS notice incorporates this information.
2. Representative Payee Liability
The SSA-L8176-U2 informs the representative payee that we will ask him/her to repay the balance of the overpayment if the overpaid individual:
3. Waiver Information
The SSA-L8176-U2 also informs the representative payee to contact the FO to request a waiver if:
B. WHEN TO USE
Issue an SSA-L8176-U2 with the representative payee's copy of the Notice of Overpayment when the overpaid individual has a representative payee.
Fill in the recipient's name on the first line of the notice and in the first line following the first caption, “Special Message for You as the Representative Payee.” Document the file with the FO copy of the notice.