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Request For Waiver Of Overpayment Recovery or Change In Repayment Rate SSA-632-BK


The form to use to apply for a waiver of an overpayment from Social Security is "Request for Waiver of Overpayment Recovery or Change in Repayment Rate"

The purpose of the form is to attempt to discover just why the overpayment was made in the first place and how much of a hardship repayment of the overpayment will cause you.

The form is available at offsite link The questions are reviewed and explained in:

Question 1. A & B  Name of the person on whose record the overpayment occurred" This is the person in whose name the benefits are earned, not necessarily the person receiving the money. For example, if you are collecting Survivor benefits because you are the widow or widower or child of a deceased worker, it is the worker's name and Social Security number you would enter here.

Question 2. If you are going to answer B,C, or D: be sure to consider how much you will actually be afford to pay. Consider teh worst case financial scenario. aIf it happens, will you still be able to afford to make the suggested payment?

Question 2. Social Security wants to get an idea about why you are requesting a waiver of the recovery. Check all boxes that apply and put dollar amounts in the appropriate blanks based on the amount of your income and the size of the overpayment.

Section 1. This is only completed if your payments are going to a Representative Payee. If you have a Representative Payee, he or she should complete this form.

  • Question 4.If Social Security believes that you benefited from an overpayment to someone else, you may be asked for recovery. This question applies only in that case.
  • Question 5.This is an important question: "Why did you think you were due the overpaid money and why do you think you were not at fault in causing the overpayment or accepting the money?"  Here is your chance to explain: Why you didn't recognize the money as an overpayment. and to show that you did nothing to cause the overpayment.. If you need more space, attach an extra sheet, plainly labeled and including your Name and Social Security Number. Write "See attached sheet" on the form.
    • The reply should be reasonable. For example, if you received a check that was $100 larger than it usually is, it may be easier to explain if you are on automatic deposit and that you don't see the checks rather than that you received a paper check that is bigger than your usual checks.
    • If you were overpaid because of a return to work and you didn't bother telling Social Security, it will be difficult to generate much sympathy. If, however, you can provide a copy of a letter you sent telling Social Security about your return to work or you can state: "On February 12, I called the 800 number and reported my intention to try to go back to work to a woman name Angela and she said she would see that it is put in my record," then you may have a better chance of having one or two overpayments waived.
  • Question 6.This is about what efforts you made to contact Social Security to report the overpayment.  Again, if you just accepted the overpayments without question and it was something fairly obvious, like you were working full-time, then this question may be a problem. This is where keeping logs of phone calls and copies of letters can really help.
  • Question 7.This question about other overpayments is Social Security looking for a pattern that may show you weren't totally innocent in this overpayment. Hopefully, that won't be a problem for you.

Section II: Your Financial Statement  If you are asking for a waiver or change in your payment schedule, you must answer all of these questions and show Social Security the level of hardship repayment would cause you. Social Security also wants to know what other resources you may have, including help from roommates and family members.

These questions ask about property you own or have given away or sold, your income, and your monthly household expenses. It is simply a matter of reporting the figures asked for as accurately as possible and collecting any documentation that support the figures which you report.

The instructions are clear and understandable.

  • Questions 16 through 18:  Read each question carefully, filling-in the blanks with incomes for you, your spouse, and all other individuals listed above in the form. Make sure to list on a monthly basis. The note on the top of page 5 of the form tells you how to handle weekly, bi- weekly and yearly amounts.

Remarks Use this section to continue answers to prior questions. Make sure to first add the question number to which you are referring. If you need more space, continue on any blank sheet of paper.. Add to each sheet your name, Social Security Number and the form number to which it is attached.

Sign and date: Note that the form only has to be witnessed if you signed it with an "x".

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