NL: Notices, Letters and Paragraphs
TN 4 (08-12)
RCY002 CROSS PROGRAM RECOVERY – REDUCTION TO COLLECT YOUR SSI OVERPAYMENT (B81)
(System Generated)
Caption: Your Benefits
We paid (1) more in Supplemental Security Income (SSI) payments in the past than (2) due. Our records show that (3) us (4) in SSI payments. By law, we can collect SSI overpayments from the Social Security benefits that (5) . We withheld (6) from (7) Social Security benefits to collect (8) the SSI payments that (9) .
Fill-in values:
Fill-in (1)
Choice 1: Beneficiary's Name
Choice 2: you
Fill-in (2)
Choice 1: he was
Choice 2: she was
Choice 3: you were
Fill-in (3)
Choice 1: he still owes
Choice 2: she still owes
Choice 3: you still owe
Fill-in (4)
Amount of SSI overpayment
Fill-in (5)
Choice 1: he receives
Choice 2: she receives
Choice 3: you receive
Fill-in (6)
Withholding amount
Fill-in (7)
Choice 1: his
Choice 2: her
Choice 3: your
Fill-in (8)
Choice 1: some of
Choice 2: null
Fill-in (9)
Choice 1: he owes
Choice 2: she owes
Choice 3: you owe
RCY006 PARTIAL ADJUSTMENT OF OVERPAYMENT COMPLETE - -OVERPAYMENT RECOVERED (A33)
(Requested/Generated)
Caption: Your Benefits
We have raised (1) benefits back to (2) regular monthly payment amount. This is because (3) repaid the overpayment money (4) owed us.
Fill-in values:
Fill-in (1) - Systems Generated
Choice 1: Beneficiary's Name
Choice 2: your
Fill-in (2) - Systems Generated
Choice 1: his
Choice 2: her
Choice 3: your
Fill-in (3) - Systems Generated
Choice 1: he
Choice 2: she
Choice 3: you
Fill-in (4) - Systems Generated
Choice 1: he
Choice 2: she
Choice 3: you
RCY021 CROSS PROGRAM RECOVERY – REVIEW REQUEST FOR SSI OVERPAYMENT (B82)
(Requested/Generated)
Caption: Your Benefits
(1) may ask us to review our finding that (2) the money. (3) may have evidence to show that (4) already paid some or all of the money or that we previously waived collection of it. If so, give us this evidence when (5) for review. We will review the evidence (6) us and the information we have. We will send (7) a letter with our decision. If we find that (8) not owe us this amount, then we will correct our records. For more information on requesting a review, see "Do You Think We Are Wrong?" below.
Fill-in values:
Fill-in (1) - Systems Generated
Choice 1: You
Choice 2: Beneficiary's name
Fill-in (2) - Systems Generated
Choice 1: you still owe
Choice 2: he still owes
Choice 3: she still owes
Fill-in (3) - Systems Generated
Choice 1: You
Choice 2: He
Choice 3: She
Fill-in (4) - Systems Generated
Choice 1: you
Choice 2: he
Choice 3: she
Fill-in (5) - Systems Generated
Choice 1: you ask
Choice 2: he asks
Choice 3: she asks
Fill-in (6) - Systems Generated
Choice 1: you gave
Choice 2: he gave
Choice 3: she gave
Fill-in (7) - Systems Generated
Choice 1: you
Choice 2: him
Choice 3: her
Fill-in (8) - Systems Generated
Choice 1: you do
Choice 2: he does
Choice 3: she does