You recently asked us to reschedule your personal conference. I am writing to confirm the date we set.

An Important Date

We have rescheduled your personal conference for (1) at (2) in this office. You will meet with (3) on that date.

A Reminder About The Personal Conference

At the personal conference, we will discuss your waiver request. Remember that at the conference you can do the following things.

• •

  You can have a lawyer, friend or someone else help you with your case.

• •

  You can bring other people to help explain your case.

• •

  You can review your file, and add any new facts you have.

• •

  You can question the facts we have and the people who gave them.

(4)

If You Have Any Questions

If you do not keep this appointment, you will forfeit the opportunity for a personal conference and recovery of the overpayment will begin even if you appeal. If you have any questions, please contact (5) at (6) .

Fill-ins:

1. (1) 

   date of rescheduled personal conference

2. (2) 

   time of rescheduled personal conference

3. (3) 

   CR name

4. (4) 

   If the person needs to submit verification of financial information, add:

   You 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.

5. (5) 

   CR name

6. (6) 

   telephone number of CR

Use Form SSA-L2000-C2 (Universal Notice) and follow the notice standards. Because the requested fill-ins and paragraphs may vary according to different situations, follow the requester's instructions carefully.