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Report an Overpayment

This form is used for reporting an overpayment.  Provide as much detail as possible related to this overpayment scenario in order for efficient processing of this notice.

Overpayment Process Initiator
Overpaid Employee
Where overpayment occurred
Overpayment Details
Provide as much detail as possible regarding this overpayment (i.e., salary, # of hours, period activity pay type, one-time payment type, etc.)
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf doc docx xls xlsx zip.