Get Identifying Information For Possible Direct Payment Of Authorized Fees

This guide provides comprehensive instructions on filling out the Identifying Information For Possible Direct Payment Of Authorized Fees form online. It aims to assist individuals who may be unfamiliar with the process, ensuring that all necessary details are clearly outlined and easily understood.

Follow the steps to complete the form accurately and efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred online editor.
2. Complete the information about the claimant by entering their first name, middle name, last name, suffix (if applicable), and the wage earner's name if different from above.
3. Indicate the type of benefits by selecting from options such as Title II (RSDI) or Title XVI (SSI). Fill in the Social Security Number of the claimant and, if applicable, the Social Security Number of the wage earner.
4. Provide your identifying information as the representative. This includes your name, Social Security Number, address (P.O. Box, street, apartment, or suite number), city, state, ZIP code or postal zone, phone number, country, and an optional fax number.
5. If applicable, enter your Employer Identification Number (EIN). This is necessary if you are representing the claimant as a partner or employee of a firm or other business entity.
6. List any other claimants you are representing in connection with this claim. Provide the Social Security Numbers and names of these claimants. If there are more than five, use a separate attachment.
7. Review all the entered information for accuracy and completeness. Ensure all required fields are filled out correctly.
8. Once verified, save your changes, and proceed to download, print, or share the form as needed.

Complete your forms online today to ensure timely processing.