As a result of
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, it has been determined that you were overpaid benefits during the period
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; or
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allowance and you have an overpayment of $
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. As it has not been determined that fraud or fault was involved in causing this overpayment, you have the right to request that the Department waive repayment, based upon extraordinary financial hardship.
(Title 20, CFR, Section 617.55)