NL 00803: Supplemental Security Income (SSI) Posteligibility Notices
TN 3 (05-92)
EXAMPLE
This Notice of Overpayment requests refund from a recipient in current pay who is a resident of a title XIX medical care facility.
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-L8171-U3 Notice of Overpayment
Example: Completed Field Office Manually Prepared Version of the SSA-L8171-U3 Notice of Overpayment
Example: Completed Field Office Manually Prepared Version of the SSA-L8171-U3 Notice of Overpayment
Example: Completed Field Office Manually Prepared Version of the SSA-L8171-U3 Notice of Overpayment
Example: Completed Field Office Manually Prepared Version of the SSA-L8171-U3 Notice of Overpayment
