Ssa 632 f4 2026

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  1. Click ‘Get Form’ to open the SSA 632 F4 in the editor.
  2. Begin by entering the name of the person on whose record the overpayment occurred in Section 1A, followed by their Social Security Number in Section 1B.
  3. In Section 1C, provide the name and Social Security Number of the individual making the request for waiver.
  4. Move to Section 2 and check any applicable boxes that describe your situation regarding the overpayment. Be sure to fill in any dollar amounts where indicated.
  5. If you are unable to pay back the overpayment, clearly state how much you can afford to pay each month in Section 2B or indicate if you wish to repay monthly instead of all at once in Section 2D.

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You have more resources than the allowable limit. You are no longer disabled and continue to receive benefits. You do not report a change to us (on time or at all) as required. We incorrectly figure your benefits because of incorrect or incomplete information.
For a successful waiver application, beneficiaries must prove that: The overpayment was not their fault (i.e. they did not intentionally withhold information), and. Paying the money back would cause financial hardship because they need the money for ordinary living expenses.
If you cant afford to pay us back, and if you feel the error wasnt your fault or is unfair for some other reason, ask us to waive repayment. If you dont agree that youve been overpaid, or you believe the overpayment amount is incorrect, you can request a reconsideration. We call this an appeal.

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Generally, the burden of proof is on the Social Security Administration to provide a logical explanation of why the overpayment happened and how it was calculated.
If you agree that you have been overpaid, but you feel you should not have to pay it back because you did not cause the overpayment and you cannot afford to repay it, you should file Form SSA-632, Request for Waiver of Overpayment Recovery.
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 cant afford it and feel the error wasnt your fault, or if you believe the overpayment is unfair for another reason.
Mail or fax us a request to waive overpaid benefits Fill out Request for Waiver of Overpayment Recovery (PDF). Then, find the Social Security office closest to your home and mail or fax us the completed form.
If you agree that you were overpaid, you can still ask SSA to waive it so that you dont have to pay it back. Ask for a waiver if you think that the overpayment was not your fault, and you cant afford to pay the money back. Ask for a Payment Arrangement.

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