Overpayments & Waivers
Form SSA-3105: Important information about your appeal, waiver rights, and repayment options
Form SSA-3105 (Important information about your appeal, waiver rights, and repayment options) is an official Social Security Administration form commonly used in overpayments & waivers matters. Review SSA’s instructions carefully, use the current version from SSA.gov, and submit it only as SSA directs for your situation.
This page explains what the form is used for and links you to the official document on the Social Security Administration website. Always use the current version from SSA.gov and follow the filing instructions SSA provides for your matter.
Related forms
- SSA-263 — Waiver of Supplemental Security Income Payment Continuation
- SSA-634 — Request for Change in Overpayment Recovery Rate
- SSA-640 — Financial Disclosure for Civil Monetary Penalty (CMP) Debt
- SSA-2032-BK — Request for Waiver of Special Veterans Benefits (SVB) Overpayment Recovery or Change in Repayment Rate
Independent advocacy — official forms belong to SSA
Shaw Social Security Advocacy Services is an independent advocacy service and is not affiliated with, endorsed by, or operated by the Social Security Administration or any other federal government agency. Form SSA-3105 is published by the Social Security Administration. Confirm you have the latest version on ssa.gov/forms before filing.
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