Request for waiver of overpayment recovery social security. Sign, fax and printable from pc, ipad, tablet or mobile with pdffiller instantly no software. Request for waiver of overpayment recovery or change in. Berryhill according to ssa, cases involving foster care are among its most sensitive. Pdf files are printer independent and should print easily on any graphics printer. Social security benefits community legal services of mid. This form can be used to either request that the social security administration waive their right to recover the overpayment or to reduce the repayment amount. Fillable form ssa632bk free printable pdf sample formswift. Download ssa 632 bk pdf with original resolution click here.
Form ssa 632bk, request for waiver of overpayment recovery or change in repayment rate, is used by individuals who receive disability payments and. Record holders name and social security number if you receive social security benefits because. Now you can print, download, or share the document. Bring or mail any papers that show you receive public assistance to your local social security office as soon as possible. I recommend you pdf expert, its a great solution for mac. Request for waiver of overpayment recovery or change in repayment rate. Complete this form if any of the following applies. Social security benefits pay money to support people who are disabled including children, people who have retired, survivors of workers who have died, and dependents of beneficiaries. You think that you are not at fault for the overpayment and you cannot afford to pay the money back. Form ssa632bk 012018 uf discontinue prior editions social security administration.
Form ssa 632 bk 082014 ef 082014 page 6 monthly household expenses if the expense is paid weekly or every 2 weeks, read the instruction at the top of page 5. What does that mean to ask for a waiver, fill out and file form ssa 632 bk with social security. If the person requesting a waiver does not live in the united states, obtain an ssa 632 bk and ask the person to show the value of the assets, income, expenses, etc. Fill ssa 632 bk fillable, download blank or editable online. Request for waiver of overpayment, recovery or change in. Ssa 632 bk fillable fill online, printable, fillable, blank. Follow the support section or get in touch with our support group in the event that youve got any concerns. After receiving the completed form, use the treasury reporting rates of exchange tables to convert the foreign currency to u. Form ssa 632 bk 042019 discontinue prior editions social security administration. Com ssa 632 bk ssa 632 bk ssa 632 bk instructions ssa 632 bk fillable ssa 632 bk form ssa 632 bk fillable form ssa 632 bk fillable pdf form.
Answered by a verified social security expert we use cookies to give you the best possible experience on our website. How much of the total accountable amount did you spend for the beneficiarys food and housing during the report period. Name of overpaid persons making this request and hisher social security numbers form ssa632bk 052009 ef 052009 destroy prior editions. Go to page 8, sign and date the form, and give your address and phone numbers. Acro forms created in ssa 632 bk form 4417583 ssa 632 pdf ssa 632 bk form 4417583 ssa 632 pdf or similar programs. Form ssa 632 bk 04 2019 fill online, printable, fillable, blank. Sign, fax and printable from pc, ipad, tablet or mobile with pdffiller. If you answered yes to question 12, do not answer any more questions on this form. Ssa 632 bk fill out and sign printable pdf template signnow. It is essential that ssa protect the rights of children who may not be able to rely on their. Requesting a waiver for an ssa overpayment illinois legal aid. Static xfa forms created in ssa 632 bk form 4417583 ssa 632 pdf livecycle.
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