A person who knowingly assists a recipient, provider, or other person in obtaining an overpayment is jointly and severally liable for the overpayment. A sample form for an employee to agree to repayment of a wage overpayment error.This chapter deals with state law provisions identifying, establishing, and collecting overpayments. All states have provisions addressing these matters. Rule R986-100 establishes standards for the administration of the following programs, for the collection of overpayments as defined in Subsection 35A-1-102(21), We inform people about the fact and amount of the overpayment, their right to appeal, and the options to repay or, in some cases, receive waivers for the debt. Clearly state the amount of unpaid wages you are owed. Before you can properly fill out the worksheet, you will need to gather the following information. A Writ of Garnishment lets a creditor garnish all the money in a bank account that is available to pay the judgment.