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SSA-632-BK 2023-2025 free printable template

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Form SSA632BK (092023) UF Discontinue Prior Editions Social Security AdministrationPage 1 of 10 OMB No. 09600037Request for Waiver of Overpayment Recovery When To Complete This Form Complete this
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How to fill out ssa 632 bk request for waiver of overpayment form

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How to fill out ssa-632-bk - request for

01
Obtain a copy of form SSA-632-BK from the Social Security Administration's website or your local SSA office.
02
Fill out your personal information, including your name, Social Security number, and contact information.
03
Indicate the type of benefits you are currently receiving.
04
Provide a detailed explanation of your request for a waiver of overpayment.
05
Attach any supporting documents that may strengthen your case.
06
Review the completed form for accuracy and completeness.
07
Sign and date the form.
08
Submit the form to your local Social Security office either in person or by mail.

Who needs ssa-632-bk - request for?

01
Individuals who have received a notice of overpayment from the Social Security Administration.
02
People who believe they are not at fault for the overpayment and wish to request a waiver.
03
Beneficiaries who are unable to repay the overpayment amount due to financial hardship.

Who needs a Form SSA 632-BK?

The person who has been overpaid by the Social Security Administration (SSA) for a reason and accepted this fact should fill out the Request for Waiver of Overpayment or Change in Repayment Rate (SSA 632-BK) in case when they cannot afford to pay overpayment back at the rate that was mentioned in the SSA notice. Another reason to complete the SSA 632-BK is your conviction that the overpayment was not your fault, and you are not able to reimburse it.

What is Form SSA 632-BK for?

The Social Security Administration uses answers that you give in this form to decide if they can waive collection of the overpayment or change the monthly amount you must pay them back each month. You can be overpaid receiving financial assistance in one of the following programs:

- Disability Benefits;

- Supplemental Security Income (SSI) program;

- Social Security Disability Insurance (SDI) program.

The best way to prevent future overpayments is reporting all changes in financial, marital, or living situation to the SSA office in timely manner.

Is Form SSA 632-BK accompanied by other forms?

In the case you agree that the overpayment occurred, you do not need to fill out additional forms. You can ask for an inverse payments delay and changes in monthly payments via Form SSA 632-BK. But if you do not acknowledge that the overpayment happened, or do not agree with the amount reported by the SSA, you should use the SSA-561-U2 for appeal. Remember that the SSA may request proof of your income and expenses.

When is Form SSA 632-BK due?

There is no time limit in which you have to file Form SSA 632-BK for receiving the waiver of your “overpayment debt”.

How do I fill out Form SSA 632-BK?

Form SSA 632 BK consists of eight pages. You need to provide information on the following topics:

- The reasons why you are asking for a waiver;

- Information about receiving the overpayment;

- Your financial statement;

- List of your household members;

- Assets-things you have and own;

- Monthly household income, expenses, and their comparison;

- Financial expectations and funds availability;

Where do I send Form SSA 632-BK?

Signed Form SSA 632 BK should be directed to your local Social Security office. To find the nearest office call 1-800-772-1213 (TTY 1-800-325-0778).

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People Also Ask about ssa 632 bk form fillable

A representative payee applicant may not serve if he/she: (a) Has been convicted of a violation under section 208, 811 or 1632 of the Social Security Act. (b) Has been convicted of an offense resulting in imprisonment for more than 1 year.
It is called Representative Payee Report of Benefits and Dedicated Account, SSA-6233-BK. You should keep these records (e.g. bank statements and canceled checks) along with receipts for two years from the time you complete the form.
Form SSA-632 | Request For Waiver Of Overpayment Recovery Or Change In Repayment Rate.
It is called Representative Payee Report of Benefits and Dedicated Account, SSA-6233-BK. You should keep these records (e.g. bank statements and canceled checks) along with receipts for two years from the time you complete the form.
If you got a letter in the mail that says you were overpaid and need to pay us back, you can request a waiver. Ask us to waive repayment if you can't afford it and feel the error wasn't your fault, or if you believe the overpayment is unfair for another reason. We may ask to see details about your income and expenses.
Call us. Tell the representative you want to pay us back for overpaid benefits. Call TTY +1 800-325-0778 if you're deaf or hard of hearing.

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The SSA-632-BK is a request for reconsideration of the termination of Supplemental Security Income (SSI) benefits.
Individuals who have had their SSI benefits terminated or are facing a reduction in benefits may be required to file the SSA-632-BK request.
To fill out the SSA-632-BK, applicants need to provide personal identification information, details regarding their SSI benefits, and any supporting documentation to justify the request.
The purpose of the SSA-632-BK is to allow individuals to appeal the decision made regarding their SSI benefits and request a review of that decision.
Information that must be reported includes personal identification details, income and asset information, reasons for seeking reconsideration, and any changes in circumstances.
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