Financial Disclosure Statement

Financial Disclosure Statement

OMB: 3220-0127

IC ID: 33919

Documents and Forms

Document Name Document Type
Form DR-423 (04-17) Financial Disclosure Statement Form and Instruction
DR-423 (04-17) Financial Disclosure Statement Form DR-423 (04-17).pdf Form and Instruction
Form RL-423 (09-05).pdf Request DR-423 For Waiver of Overpayment IC Document
SSA-632BK (08-2019).pdf Request for Waiver of Overpayment Recovery IC Document