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.
| Question | Answer |
|---|---|
| Form Name | OWCP-20 |
| Form Length | 5 pages |
| Fillable? | Yes |
| Fillable fields | 99 |
| Avg. time to fill out | 17 min |
| Edition | 07-22 |
| Issuing agency | Department of Labor, Office of Workers' Compensation Programs |
| Who signs | The overpaid person or representative payee |
| Previous editions | Unusable |
| Other names | OWCP-20, OWCP20, OWCP 20, Form OWCP-20, Overpayment Recovery Questionnaire |
| Official source | OWCP-20 (Rev 07-22), Office of Workers' Compensation Programs |
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