SSA POMS SI 02260.045 Form SSA632BK, Request for Waiver of
Ssa 632 Bk Printable Form. Name of overpaid person(s) making this request and his/her social. Go to page 8, sign and date the form, and give your address and phone number(s).
SSA POMS SI 02260.045 Form SSA632BK, Request for Waiver of
Name of overpaid person(s) making this request and his/her social. Page 1 of 10 omb no. Go to page 8, sign and date the form, and give your address and phone number(s). Bring or mail any papers that show you receive public assistance to your local. Name of person on whose record the overpayment occurred: Request for waiver of overpayment recovery.
Name of overpaid person(s) making this request and his/her social. Bring or mail any papers that show you receive public assistance to your local. Go to page 8, sign and date the form, and give your address and phone number(s). Name of person on whose record the overpayment occurred: Name of overpaid person(s) making this request and his/her social. Page 1 of 10 omb no. Request for waiver of overpayment recovery.
