Ssa 632 Bk Form Pdf - Page 1 of 10 omb no. Name of overpaid person(s) making this request. Request for waiver of overpayment recovery or change in repayment rate. Request for waiver of overpayment recovery. If we can't waive collection, we may use this form to decide how you should repay the money.
Name of overpaid person(s) making this request. Request for waiver of overpayment recovery. Page 1 of 10 omb no. Request for waiver of overpayment recovery or change in repayment rate. If we can't waive collection, we may use this form to decide how you should repay the money.