OWCP-20 PDF Details

Part I, Possession of Overpayment, is to be completed by all applicants for waiver.

In your possession: if you have any of the incorrectly paid checks or payments in your possession, these funds should be returned to the Department of Labor immediately.

Part II: Refund Questionnaire, to be completed by the person for whom repayment of the overpayment would cause undue hardship.

Part III: Without Fault Statement: explain fully why you thought the incorrect payment was due to you and why the overpayment was not your fault.

Part IV: Representative Payment Made, to be completed ONLY by a representative payee.

Part V: Remarks (optional), then the signature of the overpaid person or representative payee.

QuestionAnswer
Form NameOWCP-20
Form Length5 pages
Fillable?Yes
Fillable fields99
Avg. time to fill out17 min
Edition07-22
Issuing agencyDepartment of Labor, Office of Workers' Compensation Programs
Who signsThe overpaid person or representative payee
Previous editionsUnusable
Other namesOWCP-20, OWCP20, OWCP 20, Form OWCP-20, Overpayment Recovery Questionnaire
Official sourceOWCP-20 (Rev 07-22), Office of Workers' Compensation Programs