If you were paid too much money by the Social Security Administration and are required to pay it back, you can use this form to request a change in the repayment amount or a waiver of part of the overpayment.

More information:

• SSI, SSDI, and overpayments
• Original form

Can I use this tool?

Before you start

Before you start, you should find:

1. The notice from Social Security that says that you owe money.
2. Information about the money that you get each month, and the money that people who live with you get.
3. Find out if you get SSI, SSDI, or both.
4. Information about how you save and spend money, such as bank statements and bills.

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