Attachment B to UIPL No. 31-04

HANDBOOK FOR INTERSTATE OVERPAYMENT RECOVERY
ADDRESS AND TELEPHONE

(State Abbreviation) - A

DATE: Mo/Day/Yr



Collections Activity: Mail requests, inquiries, and/or restitution transmittals for benefit overpayment collection to:

Agency Name:
Address:
Address:
Contact Person:
Telephone No:
Fax Number:

Prosecution Activity: Mail request(s) for prosecution(s) and related material to:

Agency Name:
Address:
Address:
Contact Person:
Telephone No:
Fax Number:

 

HANDBOOK FOR INTERSTATE OVERPAYMENT RECOVERY
SUMMARY PAGE

(State Abbreviation) - B

DATE: Mo/Day/Yr



A. INFORMATION AT A GLANCE (Indicate Yes or No for the activity/participation)

1. Interstate Crossmatch: 2. Interstate Claimant Locator:
A. Match with Wage Files ___     A. Match with Wage Files ___
B. Match with Benefit Files ___   B. Match with Benefit Files ___
 
3. Overpayment Recovery: Assistance Offset  
A. Active Claims _____ _____  
B. Inactive Claims/No Claim _____ _____  
C. Combined Wage Claim _____ _____  
D. Transferring State _____ _____  
 
4. Civil Action for other states: ___   5. Prosecution for other states: ___
 
6. IRORA Participant ___   7. Cross-Program Offset Participant ___
 
8. Bulletin Board (Narrative information)

 

HANDBOOK FOR INTERSTATE OVERPAYMENT RECOVERY

State Abbreviation

DATE: Mo/Day/Yr



1. CROSSMATCH OF WAGE AND BENEFIT FILES

A. WAGE FILES

B. BENEFIT FILES

2. CROSSMATCH OF OTHER FILES.

3. OVERPAYMENT RECOVERY - ACTIVE CLAIMS (NOT CWC).

4. OVERPAYMENT RECOVERY INACTIVE CLAIM/NO CLAIM ON FILE.

5. OVERPAYMENT RECOVERY - COMBINED WAGE CLAIM.

A. WITHDRAWAL OF CWC AFTER BENEFITS HAVE BEEN PAID.

B. RECOVERY OF OUTSTANDING OVERPAYMENT IN TRANSFERRING STATE.

6. CIVIL ACTION.

7. PROSECUTIONS.

A. MINIMUM CRITERIA.

B. DOCUMENTATION REQUIRED.

8. INTERSTATE RECIPROCAL OVERPAYMENT RECOVERY ARRANGEMENT (IRORA).