Get Request For Appointed Representative's Direct Payment Information

Completing the Request For Appointed Representative's Direct Payment Information form online can be straightforward with the right guidance. This document is essential for individuals seeking direct payment from the Social Security Administration for their representation services.

Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter your personal information. This includes your middle name, first name, last name, suffix, Social Security number, mailing address, and country. Make sure the name is as shown on your Social Security card.
3. In the professional information section, indicate if you are an attorney or a non-attorney eligible for direct payment. If applicable, provide the name and location of a court where you are admitted to practice.
4. For the business affiliation section, provide information about all your business affiliations. Select whether you are a sole proprietor/single-member LLC or a partner/salaried employee. If you indicated partnership or employment, include the Employer Identification Number (EIN) and business name.
5. Provide the notice and payment address if different from the tax mailing address. Indicate if the addresses are the same to avoid unnecessary duplication.
6. Select your payment preference for the affiliation, choosing either check or direct deposit. If opting for direct deposit, confirm you are the owner or co-owner of the account and enter the required banking details.
7. Review the perjury statement, then sign and date the form to verify the accuracy of the information provided. Ensure you provide your printed name as well.
8. Once you have filled out all sections of the form, you can save your changes, download, print, or share the form as needed.

Complete your Request For Appointed Representative's Direct Payment Information form online today!