Get Ssa 1695 Form 2020-2026

Filling out the Ssa 1695 Form online is a critical step for representatives seeking direct payment of authorized fees from the Social Security Administration. This guide will walk you through each section of the form to ensure accurate and efficient completion.

Follow the steps to fill out the Ssa 1695 Form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Provide the identifying information for the claimant. Enter their first name, middle name, last name, and suffix, if applicable. Ensure accuracy as this information is crucial.
3. If the claimant's benefits are based on someone else's record, fill in the wage earner's Social Security number and full name.
4. Specify the type of benefits the claimant is receiving by checking the appropriate box for either Title II (RSDI) or Title XVI (SSI), and include their Social Security number.
5. Next, complete your information as the representative. Include your name, Social Security number, mailing address (street, city, state, country, and ZIP code), and phone number. If applicable, you may also provide your employer identification number (EIN).
6. List any other claimants you are representing in connection with this claim. Provide their Social Security numbers and names. If there are more than five, use a separate attachment.
7. Once all fields are completed, review the information for accuracy. Make any necessary corrections.
8. Save your changes, then choose to download, print, or share the completed form as needed.

Complete your Ssa 1695 Form online today to ensure timely processing of authorized fees.