POMS Reference

NL 00803: Supplemental Security Income (SSI) Posteligibility Notices

TN 3 (05-92)

EXAMPLE

This Notice of Overpayment proposes check adjustment to a recipient whose overpayment occurred when the ineligible spouse returned to work and received a pension increase.

NOTE: We included the numbers of the paragraphs we used in this notice in the left margin.

Example: Completed Field Office Manually Prepared Version of the SSA-L8170-U3 Notice of Overpayment

G-NL 00803.135-1

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Example: Completed Field Office Manually Prepared Version of the SSA-L8170-U3 Notice of Overpayment

G-NL 00803.135-2

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Example: Completed Field Office Manually Prepared Version of the SSA-L8170-U3 Notice of Overpayment

G-NL 00803.135-3

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Example: Completed Field Office Manually Prepared Version of the SSA-L8170-U3 Notice of Overpayment

G-NL 00803.135-4

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Example: Completed Field Office Manually Prepared Version of the SSA-L8170-U3 Notice of Overpayment

G-NL 00803.135-5

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