Ssa 632 Bk Printable Form
Request for waiver of overpayment recovery or change in repayment rate.
Ssa 632 bk printable form. Printable and fillable form ssa 632. This form will be filed by someone who owes the social security administration money due to an overpayment. If you are filling out this form for someone else answer the questions as they apply to that person. Complete this form if any of the following applies.
Form ssa 632 bk 01 2018 uf discontinue prior editions social security administration. Please answer the questions on this form as completely as you can. Check any of the following that apply. This form will allow you to either request the ssa reconsider the overpayment waive the payment or request a different rate.
Download fillable form ssa 632 bk in pdf the latest version applicable for 2020. Form ssa 632 bk 04 2019 discontinue prior editions social security administration. For ssa use only. If you agree that you have been overpaid but you feel you should not have to pay it back because you did not cause the overpayment and you cannot afford to repay it you should file form ssa 632 request for waiver of overpayment recovery.
Page 1 of 9 omb no. Fill out the request for waiver of overpayment recovery online and print it out for free. Amtofop for ssa use only waiver ssi. The form ssa 632 bk will be a request for waiver of overpayment recovery or change in repayment rate.
Page 1 of 14 omb no. We will help you fill out the form if you want. Request for waiver of overpayment recovery. Form ssa 632 bk 05 2009 ef 05 2009 destroy prior editions page 1 2.
You think that you are not at fault for the overpayment and you cannot afford to pay the money back. When to complete this form.