We sent you $
(*F1)
more in Social Security benefits than we should have.
(*F2)
. (E3103.1)
How To Pay Us Back
You should refund this overpayment within 30 days. Please make your check or money
order payable to the “Social Security Administration” and send it to us in the enclosed
envelope. Always include *F1 Social Security claim number on the check or money order.
If you cannot refund the *F2 now, you should give us: (a) a partial payment; (b) an
explanation of *F3 assets and income and expenses; and (c) a definite plan for repaying
the rest of the money.
Please send your check or money order in United States (U.S.) currency or in local
currency equal to the United States dollars. When you pay us in local currency, we
use the exchange rate in effect at the time we receive *F4 payment. If this causes
a difference between the amount you pay us and the amount *F5 owe us, we will let
you know. If you cannot mail *F6 payment directly to us, please go to your nearest
Federal Benefits Unit (FBU) for help in making the refund. Visit *F7 for a list of
FBUs. If you are in Canada, visit *F8 to find the office that services your area.
If we do not receive *F9 refund within 30 days, we plan to recover the overpayment
by withholding 10 percent of *F10 benefit beginning with the payment you will receive
for *F11 on or about *F12. We will continue withholding 10 percent of the benefit
you receive for *F13 until the amount we have kept is equal to the amount you owe
us. (3103A)
Or
To recover the overpayment, we will withhold 10 percent of the payment you will receive
*F1 until we recover the overpayment. We will do this starting with the payment *F2
will receive on or about *F3. (3104B)
Or
We plan to recover the overpayment from the payment you would normally receive for
*F1 about *F2. The reduced payment will be $*F3 and you will receive the regular monthly
payment about *F4. (3102B)
If You Think You Should Not Have To Pay Us Back
You may not have to pay us back. Sometimes we can waive the collection of an overpayment,
which means you will not have to pay us back. For us to waive the collection of your
overpayment, two things must be true.
-
•
It was not your fault that you got too much Social Security money.
AND
-
•
Paying us back would mean you cannot pay your bills for food, clothing, housing, medical
care, or other necessary expenses, or it would be unfair for some other reason.
You can ask for waiver at any time by filling out the waiver form. The form number
is SSA-632-BK. We will not collect the overpayment while we decide if we can waive
collection. If you ask for waiver in the next 30 days, we will not withhold benefits
until we decide if we can waive collection.
You may need to show us proof of your monthly income, expenses, and assets. Examples
are pay stubs, pension records, rent receipts, utility bills and bank statements.
If you have any questions, you may contact *F1. (3100C)
If You Disagree With The Decision
If you disagree with the decision, you have the right to appeal. A person who did
not make the first decision will decide your case. We will review your case again
and consider any new facts you have.
-
•
You have 60 days to ask for an appeal. If you ask in the next 30 days, you will not
have to pay us back until we decide your case.
-
•
Both the 30- and 60-day periods start the day after you receive this letter.
-
•
You must have a good reason if you wait more than 60 days to ask for an appeal.
-
•
Your request must be in writing. The fastest and easiest way to file an appeal is
to visit *F1 online.
We are enclosing a pamphlet called “Important Information About Your Appeal and Waiver
Rights.” Please be sure to read it.
If withholding the monthly payment will cause hardship, please contact *F2.
You can contact us even if you do not want to request a reconsideration or a waiver.
Please take this letter with you if you do visit an office. Unless we hear from you
within 30 days, we will withhold the benefit as shown above. (3100F Foreign)
If You Have Any Questions (REFC01)
Need more help?
1. Visit www.ssa.gov for fast, simple, and secure online service.
2. If you are in the United States, American Samoa, Guam, Northern Mariana Islands,
Puerto Rico, or the U.S. Virgin Islands, call us at 1-800-772-1213. If you are deaf
or hard of hearing, call TTY 1-800-325-0778.
3. You may also call your local Social Security office.
-
•
If you are in Canada, visit *F1 to find the office that services your area.
-
•
Contact your nearest Federal Benefits Unit (FBU). Visit *F2 for a list of FBUs.
-
•
Write to the Social Security Administration at:
P.O. Box 17769
Baltimore, Maryland, 21235-7769
USA
If you contact us, please refer to this letter. It will help us answer your questions.
How are we doing? Go to www.ssa.gov/feedback to tell us. (REF197)
Enclosures (2):
Form SSA-3105
Refund envelope