Get Ssa-1560-u4 2021-2025

The SSA-1560-U4 is a form used to petition for authorization to charge and collect fees for services provided before the Social Security Administration. This guide will provide you with clear, comprehensive instructions on how to complete this form online, ensuring that you effectively submit your fee petition.

Follow the steps to fill out the SSA-1560-U4 online

1. Press the ‘Get Form’ button to obtain the form and open it in your browser.
2. Fill out the 'Representative's Rep ID' field with the identification number issued by the SSA.
3. Input the representative's name by entering their first name, middle initial, and last name.
4. Enter the claimant's last name and first name in the designated fields.
5. Indicate the date services began and the date services ended for the claim.
6. Specify the fee amount you are requesting for your services.
7. Select the type of claims relevant to the fees being requested, such as Title II Disability or Title XVI Disability.
8. Itemize the services provided by creating a separate page that lists each activity, date, time spent, and who performed the service.
9. Answer whether you have entered into a fee agreement with the client for the services provided.
10. Indicate if you have received or expect to receive payment from another source towards your fee.
11. Provide details on any expenses incurred that you expect to be reimbursed for.
12. Include information on any services provided before a State or Federal court and the associated fees.
13. Fill out the representative's business address and contact information.
14. Complete any additional questions regarding past disbarment or disqualification.
15. Review all entered information for accuracy and sign the form, adding the date.
16. Save your changes, and download, print, or share the completed form as needed.

Complete your SSA-1560-U4 form online today to ensure a smooth fee petition process.