Get Ssa-1560-u4 2017

Filing the SSA-1560-U4 form online is an essential step for appointed representatives looking to request approval for fees related to services rendered before the Social Security Administration (SSA). This guide will provide detailed, step-by-step instructions on how to effectively complete this form, ensuring all necessary information is accurately recorded.

Follow the steps to complete the SSA-1560-U4 online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin filling out the 'Representative’s Information' section. Enter the representative's Rep ID, first name, middle initial, last name, and business address, including city, state, zip/postal code, and telephone number.
3. Next, complete the 'Claimant's Information' section. Enter the claimant's first and last names and their Social Security number.
4. In the 'Fee Amount Requested' section, specify the fee being requested, as well as the dates services began and ended.
5. Indicate the type of claims (select from Title II Disability, Retirement, Title XVI Disability, Other Title XVI or VIII, CDR, or Post Entitlement) that the petition pertains to.
6. Itemize the services provided by listing each meeting and correspondence, as well as other activities. Attach the detailed list including all necessary information.
7. Answer the questions regarding any past payments received towards the fee, whether you hold any money in a trust or escrow account, and if a fee agreement exists.
8. Review any additional questions concerning reimbursements for expenses, services provided before a court, and any disciplinary actions or disqualifications.
9. Declare under penalty of perjury that all information provided is true and correct by signing the form.
10. Finally, save the changes, download, print, or share the completed form as needed and ensure it is submitted to the appropriate SSA office.

Complete your SSA-1560-U4 form online today and ensure your fee request is submitted accurately.