TANF: Chart of TANF and SSP Overpayments (ABCD-50)

The following are instructions on completing Form 080P025E (ABCD-50), the Chart of TANF and SSP Overpayments (ABCD-50).

Enter the following:

Date:
Case name:
Case number:
County number:
Supervisor/worker number:

On the Chart of Temporary Assistance for Needy Families and State Supplemental Payment Overpayments

Column 1: Date Overpayment Begin:
-Enter the month in which the overpayment occurred
Column 2: Amount of Requirements:
-Enter the amount of requirements that was considered at in the month of the overpayment
Column 3: Amount of Income considered:
-Enter the Amount of Income that was considered in the month of the overpayment
Column 4: Benefit reviewed:
-Enter amount of Benefit received in the month of overpayment.
Column 5: Amount of Requirements
-Enter Amount of Requirements that should have been considered in the month of overpayment.
Column 6: Income to be applied
-Enter the amount of income that should have been applied in the month of overpayment.
Column 7: Benefit eligible to receive
-Enter the amount of benefit that should have been received in the month of overpayment
Column 8: No. of months
-Enter number of months
Column 9: Amount of overpayment per month.
-Enter total amount of overpayment per month
Total child support adjustment
-Enter total child support adjustment (if applicable)
Total overpayment
-Enter total sum of all overpayments (total amounts in column 9)

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