Notice For Overpayment In Hennepin
Category:
State:
Multi-State
County:
Hennepin
Control #:
US-0041LTR
Format:
Word;
Rich Text
Instant download
Description
This form is a sample letter in Word format covering the subject matter of the title of the form.
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Send clients the Minnesota Health Care Programs Notice of Overpayment (DHS-4939) to notify them of the amount of the overpayment and request repayment. You can fill out a form and submit your appeal online.The Notice of Overpayment will include information on how to appeal. You must appeal the overpayment within 90 days of the date on the notice. Hennepin County District Court. The Violations Bureau handles in-person fine payments and answers questions about tickets. Your overpayment notice explains why you have been overpaid, your overpayment amount, your repayment options, and your appeal and waiver rights.
