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Closed CaseLDSS4682 (Rev. 5/16)NOTIFICATION OF OVERPAYMENT OF PUBLIC ASSISTANCE TO A FORMER RECIPIENT AND DEMAND FOR REPAYMENT NAME AND ADDRESS OF AGENCY/CENTER OR DISTRICT OFFICENOTICE DATE: FORMER

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What is ldss-4682 notification of overpayment?

The ldss-4682 notification of overpayment is a form used to report any overpayments in benefits received from the Department of Social Services (DSS).

Who is required to file ldss-4682 notification of overpayment?

Any individual or household that has received benefits from DSS and has identified an overpayment is required to file the ldss-4682 notification of overpayment.

How to fill out ldss-4682 notification of overpayment?

The ldss-4682 notification of overpayment can be filled out by providing details of the overpayment, including the amount, reason for the overpayment, and any supporting documentation.

What is the purpose of ldss-4682 notification of overpayment?

The purpose of ldss-4682 notification of overpayment is to notify DSS of any overpayments so that appropriate actions can be taken to resolve the issue.

What information must be reported on ldss-4682 notification of overpayment?

The ldss-4682 notification of overpayment must include information such as the amount of overpayment, reason for the overpayment, dates of overpayment, and any other relevant information.

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