TN 3 (05-92)

NL 00803.250 Completed Field Office Manually Prepared Version of the SSA-L8165-U2 Important Information

EXAMPLE

This notice tells a former recipient that we waived part, but not all, of the overpayment. Since the notice is to a former recipient, it follows the format of the SSA-L8174-U3 to tell the individual about the part of the overpayment that was not waived and to request refund.

Example: Completed Field Office Manually Prepared Version of the SSA-L8165-U2 Important Information

G-NL 00803.250-1

Printer Friendly Version

Example: Completed Field Office Manually Prepared Version of the SSA-L8165-U2 Important Information

G-NL 00803.250-2

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Example: Completed Field Office Manually Prepared Version of the SSA-L8165-U2 Important Information

G-NL 00803.250-3

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To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900803250
NL 00803.250 - Completed Field Office Manually Prepared Version of the SSA-L8165-U2 Important Information - 04/07/1999
Batch run: 01/27/2009
Rev:04/07/1999