Form Approved OMB No. 0960-0037 SOCIAL SECURITY ADMINISTRATION Request For Waiver Of Overpayment Recovery Or Change In Repayment Rate FOR SSA USE ONLY ROAR Input Yes No We will use your answers on this form to decide if we can waive collection of the overpayment or change the amount you must pay us back each month.
Fill & Sign Online, Print, Email, Fax, or Download
You have been logged out of your account because someone has loged in to your account on a different computer. If you would like to continuie using PDFfiller please re-login. Pdffiller needs to inforce one user per account policy to insure account privacy and security.