Get Form Ssa-1696-u4 (1-2005) Ef (1-2005)

Filling out the Form SSA-1696-U4 (1-2005) EF (1-2005) online is a crucial step for individuals seeking representative assistance with Social Security claims. This guide will help you navigate the form with clarity and confidence.

Follow the steps to complete the form efficiently.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the name of the claimant, ensuring it is printed or typed clearly. Include the claimant's Social Security number.
3. In Part I, appoint a representative by entering their name and indicating the relevant claim titles (Title II, Title XVI, Title XVIII, Title VIII).
4. Authorize the Social Security Administration to share information related to your claims with the appointed representative by providing their details.
5. The claimant must sign the form, providing their address and contact details, including telephone and fax numbers.
6. In Part II, the representative must accept their appointment by signing and certifying their eligibility. They must include their own contact details and signature.
7. Complete any optional sections, such as Part III waiving fee rights or Part IV regarding waiver of direct payment, if applicable.
8. After completing the form, review all entered information for accuracy and completeness.
9. Save changes, and then download, print, or share the completed form as needed.

Start filling out your Form SSA-1696-U4 (1-2005) online today!