A sample form for an employee to agree to repayment of a wage overpayment error. The key is to ensure you have a voluntary agreement in writing with the employee before any deductions are taken.The law does allow for an employee to voluntarily agree to repayment of any overpaid wages as long as the employee's wages are not reduced below minimum wage. Ask SSA to give you a letter that shows that they agreed to the repayment plan. 2. If the overpayment is a result of a out-of-home placement in a facility: Complete the SCD 13 and document in a CalSAWS journal entry. The salary overpayment resulted because . IMPORTANT: If we told you in the overpayment notice that you are responsible for a family member's overpayment, complete Section 3. Otherwise, go to Section 4.