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NOTIFICATION OF POSSIBLE RECOUPMENT AND/OR PROSECUTION FOR FRAUD Instructions to the victim/applicant: Initial each of the following acknowledgements, sign, date, and identify the assigned claim number

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What is notification of possible recoupment?

Notification of possible recoupment is a formal notice given to inform individuals or entities that there may be a recoupment of funds, usually due to an overpayment or an error.

Who is required to file notification of possible recoupment?

The entity or individual responsible for the recoupment is required to file the notification of possible recoupment.

How to fill out notification of possible recoupment?

To fill out the notification of possible recoupment, one must provide detailed information about the recoupment, the reasons for it, and any supporting documentation.

What is the purpose of notification of possible recoupment?

The purpose of notification of possible recoupment is to inform the affected parties about the potential recoupment of funds and to provide them with an opportunity to respond or dispute the recoupment.

What information must be reported on notification of possible recoupment?

The notification of possible recoupment must include information about the amount of funds being recouped, the reason for the recoupment, and any relevant dates or documentation.

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