Get Ssa 1696 Claimant S Appointment Of Representative 2020-2025

Filling out the SSA 1696 Claimant's Appointment of Representative form is a crucial step for anyone wishing to appoint someone to assist with their Social Security claims. This guide will provide you with a clear, step-by-step approach to completing the form effectively online.

Follow the steps to complete the SSA 1696 form online.

1. Click ‘Get Form’ button to obtain the SSA 1696 form and access it in the editor.
2. At the top of the form, enter your full name and Social Security number. If applicable, also include the wage earner’s name and Social Security number.
3. In Part I, provide the name and address of the individual(s) you are appointing as your representative. You can appoint an attorney or another qualified representative.
4. Select the boxes corresponding to the Social Security programs under which you have a claim (e.g., Title II for retirement, survivors, or disability benefits).
5. Indicate whether you give your representative permission to designate an associate to handle your claim's information by checking the appropriate box.
6. If you appoint more than one representative, identify your main representative by providing their name.
7. Sign and date the form, and include your address and contact information.
8. In Part II, each appointed representative must sign to accept the appointment and certify they are eligible to represent you.
9. In Part III, your representative needs to select the fee arrangement option, sign, and date this section.
10. Once all sections are completed, ensure to save changes, and then download or print the form for submission.

Complete your SSA 1696 form online today to appoint your representative effectively.