SSA-632-BK 2014 free printable template

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 We will use your answers on this form

How to fill out SSA-632-BK

How to fill out SSA-632-BK

1. Obtain the SSA-632-BK form from the Social Security Administration website or a local office.
2. Read the instructions at the top of the form carefully.
3. Fill in your personal information, including your name, Social Security number, and contact information.
4. Complete the sections regarding the reasons for your request to waive overpayment and any relevant financial information.
5. Provide details about your current income, expenses, and assets in the appropriate sections.
6. Sign and date the form to certify that all information provided is correct.
7. Submit the completed form to your local Social Security Administration office either by mail or in person.

Who needs SSA-632-BK?

1. Individuals who have received a notice of overpayment from the Social Security Administration and are seeking to request a waiver of the repayment.
2. People who believe that they were not at fault in causing the overpayment and may experience financial hardship if required to repay the amount.
3. Persons who have appealed an overpayment decision and need to provide supporting information.

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).

Instructions and Help about SSA-632-BK

[Music] Heather this is Jonathan Ginsberg I'm a social security disability attorney, and today I'd like to talk to you about what you need to do to request a waiver of overpayment of benefits and this sometimes happens where Social Security will send you a letter saying we've determined that you've been overpaid a lot of times involved with SSI where you're getting SSI benefits and for whatever reason you have earnings, or you have resources that make you ineligible for SSI and SDI case it could be a situation where you go back to work, and you use up your trial work period months, and they don't catch it in time and so you're working on off and on, but you're still collecting your disability benefits, and it goes on for two or three years, and then you get a nice letter saying hey you owe is $30,000 there's an envelope please send it in and if you don't do it we're going to prosecute you and by the way so screw these letters on overpayments I think somebody needs to revise them because they're very, very cut and dry they don't suggest that you have any options, and it's really a could be very you can really be very frightening experience for someone to get one of these letters I also tie don't deal with overpayment issues that much people do call me about them, and I've done a few overpayment requests the form that I fill out to request a waiver of overpayment, but it's not something I see all that often I've done a little research into this basically what I can tell you are that the factors that seem to be most relevant are as follows first and foremost they're going to look at and by the one I'm talking about an overpayment what you're doing is you're saying the Social Security yes I acknowledge I was overpaid but waived that overpayment because of one of the following reasons and some reasons are basically going to be that I was without fault it's not my fault I didn't understand that was being overpaid, so the fact is that they look at and the first and foremost your mental competence if you have a mental health issue for example you have a very low IQ or the person involved has a very low IQ that is a factor if you've got a severe mental health condition that makes it difficult for you to maintain attention and concentration or even severe pain makes it difficult to maintain attention and concentration that seems to be a big factor that Associate indicate or a judge would consider when deciding in a way we were of overpayment do you have some sort of mental health issue concentration problem capacity problem that could make would make it difficult for you to understand what was going on or to make the right decision the second thing I see is they look at did you make some effort to find out what you needed to do for example did you contact social Scrooge's you write them a letter did you call them to saying if something doesn't seem right what should I do because a lot of times people will call Social Security and say you know I'm getting...

People Also Ask about

What disqualifies you from being a payee for Social Security?

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.

What is an SSA 623 form?

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.

What is a SSA 632?

Form SSA-632 | Request For Waiver Of Overpayment Recovery Or Change In Repayment Rate.

What is form SSA-623 from Social Security?

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.

How do I get my SSI overpayment waived?

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.

What to do when Social Security says you owe them money?

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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What is SSA-632-BK?

The SSA-632-BK is a form used by the Social Security Administration to request a reconsideration of the decision made regarding an individual's Social Security benefits.

Who is required to file SSA-632-BK?

Individuals who wish to appeal a decision regarding their Social Security benefits, specifically when they believe their benefits have been denied or reduced.

How to fill out SSA-632-BK?

To fill out the SSA-632-BK, individuals need to provide their personal information, details about the benefits in question, and a clear statement explaining why they believe the decision should be reconsidered.

What is the purpose of SSA-632-BK?

The purpose of SSA-632-BK is to allow individuals to formally request a review of a Social Security decision concerning their benefits.

What information must be reported on SSA-632-BK?

The SSA-632-BK requires personal identification information, details about the benefits being appealed, and a statement of reasons for the appeal.