To ask for a waiver, fill out and file Form SSA-632-BK with Social Security. Use this form if you want to ask Social Security to
not collect (or waive) the money,
make you pay back only some of the money (called a compromise), or
set up a payment plan that you can afford.
To be granted a waiver, Social Security must decide that you are without fault in causing the overpayment and that
collecting it would defeat the purpose of the SSI program, or
be unfair (against equity and good conscience).
You have a right to a personal conference before a decision is made on your waiver request. You have the right to look at your file with a Social Security worker who can answer your questions up to five days before the conference.You also have the right
to bring someone with you to the conference,
to testify yourself,
to ask questions, and
to show proof about the things you say.
To support your waiver request, you must show you did your best (given your medical and any language or understanding problems) to
give Social Security all the information it needed in a timely manner,
tell Social Security the truth, and
give back any payments that you should have known were wrong.
Let Social Security know if you made decisions based on what Social Security told you, which you would not have made otherwise. Also let Social Security know if you get any other public benefits, such as cash assistance for a child or a grandchild. Let Social Security know your budget and if you have any unusual expenses. If Social Security denies your waiver request, it will use this information to decide how much they will take from your check each month.