This Notice of Overpayment requests refund from a recipient in current pay who is
a resident of a title XIX medical care facility.
NOTE: We included the numbers of the paragraphs we used in this notice in the left margin.
Example: Completed Field Office Manually Prepared Version of the SSA-L8171-U3 Notice
of Overpayment
Example: Completed Field Office Manually Prepared Version of the SSA-L8171-U3 Notice
of Overpayment
Example: Completed Field Office Manually Prepared Version of the SSA-L8171-U3 Notice
of Overpayment
Example: Completed Field Office Manually Prepared Version of the SSA-L8171-U3 Notice
of Overpayment
Example: Completed Field Office Manually Prepared Version of the SSA-L8171-U3 Notice
of Overpayment