Ssa 632 Bk Printable Form

Form SSA 632BK Instructions Waiver of Overpayment Recovery

Ssa 632 Bk Printable Form. Page 1 of 10 omb no. Request for waiver of overpayment recovery.

Form SSA 632BK Instructions Waiver of Overpayment Recovery
Form SSA 632BK Instructions Waiver of Overpayment Recovery

Request for waiver of overpayment recovery. Page 1 of 10 omb no. Name of person on whose record the overpayment occurred: Name of overpaid person(s) making this request and his/her social. Go to page 8, sign and date the form, and give your address and phone number(s). Bring or mail any papers that show you receive public assistance to your local.

Name of person on whose record the overpayment occurred: Name of person on whose record the overpayment occurred: Page 1 of 10 omb no. Go to page 8, sign and date the form, and give your address and phone number(s). Request for waiver of overpayment recovery. Bring or mail any papers that show you receive public assistance to your local. Name of overpaid person(s) making this request and his/her social.