The salary overpayment resulted because . We have identified the following overpayment and are in good faith voluntarily refunding all monies collected in error.This model letter as a legally approved form for a client to use when informing an employee about correcting a wage overpayment. This form allows patients to request a refund for services provided. File Form SSA-632, Request for Waiver of Overpayment Recovery. This file contains the Overpayment Refund Notification Form for UnitedHealthcare. Once you have received financial aid, you must make progress toward completing your program to keep that aid. Eligibility criteria and the Program remain the same as in the initially issued NOFA (dated April 14, 2023). This information may be sent to you in a letter or included in a newsletter from the plan.