This model letter as a legally approved form for a client to use when informing an employee about correcting a wage overpayment. An overpayment can happen if there is an ineligibility notice, which disqualifies a claimant in certain cases where they have already received benefits.The salary overpayment resulted because . A sample form for an employee to agree to repayment of a wage overpayment error. For a regular wage payment fill out the contract hours, hours worked for the regular wage payments for either a monthly or biweekly employee and the. When the overpayment is caught, the accountant will most likely recommend an adjustment to your paycheck to repay the overpayment.