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Page | 306 D. “Actual Basis of Issuance/Payment” section – EABS will list each month, household size, adjusted income (not gross) and the benefit amount that were issued prior to the discovery of the overpayment.

E. “Correct Basis of Issuance/Payment” section – EABS will list the month, household size, correct adjusted income and correctly calculated benefit amount after the overpayment was determined.

F. “Overpayment Questions” section – The EABS will answer each question in this section.

G. “Household Member During Overpayment Period” – EABS will complete this section if the household composition is different than what ACCESS shows.

H. “Cause of the Overpayment” section – EABS chooses from the drop down menu the reason that caused of the overpayment. The next form field must identify the circumstances for the overpayment. Be thorough, concise, and to the point when explaining the cause.

I. “Prior IPVs Listed on ACCESS” section – The EABS will list any previous IPVs that are showing on the PERS-D-NIPV screen in ACCESS.

J. “Reporting Staff Information” section – The EABS will put their information on the worker line and then the Supervisor will complete their information once they approve of the information in the overpayment Report.

K. After the DSS-EA-894, Overpayment Report is completed the SPEC-C-RECO, is completed. The hard copy form is sent to the supervisor for approval. (This is done as soon as possible but must be completed within 120 days of the receipt of the final verifications/decision. 1. A copy of the DSS-EA-894 and all substantiation are maintained in the case file in File Director. 2. RECO is completed via the SPEC function on ACCESS. 3. Within the 120 time frame for referral, the Overpayment Report is reviewed for accuracy by the Supervisor, signed and forwarded to the ORFI Recovery Coordinator, and if requested, to the Regional Manager. RECO is also approved on ACCESS by the Supervisor and upon approval, is automatically forwarded to the ORFI Coordinator. 4. ORFI reviews the claim and is responsible for claim collection.

Example: Bill was an unreported household member that should have been included in the household count along with his income. Bill and the other household members would all be listed in this section.