Ssa 632 Bk Printable Form. Page 1 of 10 omb no. Go to page 8, sign and date the form, and give your address and phone number(s).
Ssa 16 Bk Printable Form
Request for waiver of overpayment recovery. Name of person on whose record the overpayment occurred: Bring or mail any papers that show you receive public assistance to your local. Go to page 8, sign and date the form, and give your address and phone number(s). Name of overpaid person(s) making this request and his/her social. Page 1 of 10 omb no.
Bring or mail any papers that show you receive public assistance to your local. Request for waiver of overpayment recovery. Name of person on whose record the overpayment occurred: Page 1 of 10 omb no. 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. Go to page 8, sign and date the form, and give your address and phone number(s).
