807 A1 Sample Paid Status Error Overpayment Letter
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Georgia Department of Human Services |
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Sample Paid Status Error Overpayment Letter |
Date
Dear [Employee Name]:
It has come to the attention of the Office of Human Resources that you were to be placed on leave without pay effective [Date]. Due to an administrative error, you remained in pay status for two consecutive pay periods [Date] and [Date], receiving paychecks, which were directly deposited into your checking account. The following are amounts received in error:
Pay Period Ending Date |
Amount Overpaid |
July 15, 2004 |
$ 819.27 |
July 31, 2004 |
$ 828.06 |
Total Amount Overpaid |
$ 1,647.33 |
A cashier’s check or money order payable to The Department of Human Services for $1,647.33 must be received in our office by ________________. If you are unable to submit this amount, please contact DHS within ten calendar days from the date of this letter at __________________ to make other arrangements for refunding the department. If I do not hear from you by __________________, this matter will be turned over to the DHS Office of General Counsel.
Your cooperation in this matter is greatly appreciated.
Sincerely,