Make a payment(s) using our online system. Your overpayment notice explains why you have been overpaid, your overpayment amount, your repayment options, and your appeal and waiver rights.Please call 1-800-772-1772 or your local field office and we may be able to process your waiver request quickly over the phone. To ask for a lower monthly repayment amount, use SSA Form 634, the Request for Change in Overpayment Recovery Rate. Use this form when notifying LifeWise Health Plan of Washington of an overpayment. Use this model communication to draft a notice to an employee regarding necessary actions to correct overpayment of the employee's salary. The Division of Energy Employees Occupational Illness Compensation (DEEOIC) has made a preliminary finding that you have been overpaid benefits. An employee's overpayment debt may be waived in whole or in part.

Notice For Overpayment In Clark

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