
You means the claimant, beneficiary, auxiliary or spouse. Us and SSA means the Social Security Administration. General Information About This Form This form is optional. Complete it only when applicable, either in-person at your local field office, mail it, or fax it to us. You should also tell your representative. Revocation of a Representative s Appointment You may use this form to end (revoke) an appointed representative s authority at any time during the processing of.
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How to fill out the SSA-1696-SUP1 online
This guide provides a clear and supportive overview for users on how to complete the SSA-1696-SUP1 form online. It offers step-by-step instructions tailored to meet your needs, ensuring ease of access and understanding.
Follow the steps to complete the SSA-1696-SUP1 form online.
- Click ‘Get Form’ button to obtain the form and open it in the online editor.
- Provide your claimant's information, including Social Security Number, first name, initial, last name, address, state, city, and ZIP/postal code.
- Enter your representative's identification number (Rep ID) if known, along with their name and address.
- Indicate that you are revoking the appointment of a representative by checking the relevant box.
- If the representative you are revoking was your principal representative, select the option to name a new principal representative and provide their name.
- Sign and date the form to confirm the revocation of the appointment.
- Once all information is completed, you can save changes, download, print, or share the form as needed.
Complete your SSA-1696-SUP1 form online today for a seamless experience.
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