TN 44 (05-23)

GN 02250.255 Documents to Support a Request for Waiver of Overpayment Recovery


A. Supporting Documents

The overpaid individual is responsible for providing proof of monthly income, monthly household expenses, and resources for the overpaid individual and any household family members. The supporting documents must be no older than 3 months from the date that we receive the waiver request, see GN 02250.100.

Expenses that are reasonably consistent with the overpaid individual's standard of living are acceptable household expenses as long as they are ordinary and necessary. Ordinary and necessary living expenses do not require supporting documents, unless the expenses seem unusually high. For a list of ordinary and necessary living expenses, see to GN 02250.100D1. To determine acceptable monthly household expenses, see GN 02250.100D2.

The Access for Financial Institutions (AFI) process requires an overpaid individual to provide their authorization for us to obtain financial account information whenever we need the information to make a defeats the purpose waiver determination. For more information, refer to GN 02250.100D4.

B. List of supporting documents

The following is a list of acceptable documents to support the waiver request.

Type of information Acceptable documents

1. Monthly income:

Self-employment, Wages, Pension, Supplemental Nutrition Assistance Program (SNAP), Child Support, Alimony, Income from any retirement plan, etc.
  • Pay slips

  • Most recent tax return

  • Award letter for the current year

  • Notification letter for the current year

  • Earnings Query web application

2. Monthly household expenses:

Rent or Mortgage, Property Tax, Insurance (life, fire, homeowner, etc.), Other household expenses (medical, dental, tuition, etc.)
  • Rent receipts, mortgage payment books, electronic verification

  • Utility bills

  • Insurance bills

  • Evidence of any large expenses

3. Resources:

Checking, Savings, Online Accounts, Certificate of Deposit (CD), Any retirement plan that does not produce income,; Money or Mutual Funds, Stocks, Bonds, Trust Funds (if the overpaid individual has access to the funds), Prepaid Debit Cards, More than one home (if it is not the overpaid individual's principal place of residence), More than one automobile excluding an automobile used for the support of the overpaid individual or a household family member who uses a wheelchair or mobility device). For more information, see GN 02250.100
  • Canceled checks, money order, bank statements, credit card statements, electronic verification

  • Savings bonds

  • Stock certificates or statements

  • Bond certificates or statements

  • Mortgage statement

  • Automobile registration

4. Other:

Income from real estate or a business, Support from an organization or individual, Room and board payments from an individual who is not a household family member, etc.
  • Tax return - Helps determine number of household family members

  • Proof of payment due - When an individual shows fixed payment which seem to be over the minimum amount due.

  • Proof of support by others - Provide a signed statement from the individual or organization who provides the support.

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GN 02250.255 - Documents to Support a Request for Waiver of Overpayment Recovery - 05/05/2023
Batch run: 05/05/2023