We have identified the following overpayment and are in good faith voluntarily refunding all monies collected in error. Medical records must be received within fourteen (14) calendar days of the date of the.Medical Record Request Letter. Please download the form, complete each field and print. Include the form with your refund so we can properly apply the refund and record the receipt. The salary overpayment resulted because . Pay.gov is a free service that allows you to pay many, but not all, United States government agencies. Find the form you have been directed to use below.

Letter For Overpayment Refund In King

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