SSA-2032
Request For Waiver Of Special Veterans Benefits (SVB) Overpayment Recovery Or Change In Repayment Rate
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the SSA-2032
Request may not be processed if the form is incomplete or illegible.
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. If we can’t waive collection, we may use this form to decide how you should repay the money.
Please answer the questions on this form as completely as you can. We will help you fill out the form if you want. If you are filling out this form for someone else, answer the questions as they apply to that person.
If you need more room for responses, use “REMARKS” on page 13.
FOR SSA USE ONLY
Input Date
Waiver Approval
Denial
Amt of O/P (Show in U.S. $)
Period (Dates) of O/P
MM/YYYY to MM/YYYY
1.
Name of Beneficiary
Social Security Number
-
-
Name of Representative Payee (if applicable)
Social Security Number
-
-
If representative payee is requesting waiver or change in repayment rate, answer 1.A. and 1.B. and continue:
A. Were all or some of the overpaid SVB payments received used for the beneficiary?
Yes
If yes, answer B. below.
No
If no, skip to Question 2.
Address of the beneficiary
B. How were the overpaid benefits used?
And much more... |