Get Ssa-1560-u4 2005

The SSA-1560-U4 form is the Petition to Obtain Approval of a Fee for Representing a Claimant Before the Social Security Administration. This guide will provide you with comprehensive, step-by-step instructions to assist you in completing this form online.

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

1. Click ‘Get Form’ button to access the SSA-1560-U4 form and open it in your preferred online editor.
2. In the first section, enter the dollar amount for the fee you request for your services. Ensure to specify this amount clearly.
3. Fill out the dates when your representational services began and ended, including the month, day, and year in the designated fields.
4. Indicate the type(s) of claim(s) by checking the appropriate boxes. Additionally, provide the name and Social Security number of the claimant related to the claims.
5. Itemize the services rendered before the SSA on a separate page. Include details of meetings, conferences, correspondence, telephone calls, research, preparations, attendance at hearings, and other related activities.
6. Answer the questions regarding any fee agreements: indicate if a fee agreement exists and, if yes, specify the agreed amount and attach a copy.
7. Complete the questions concerning any payments received from other sources, and whether you hold any money in a trust or escrow account for fee payments.
8. Answer queries about reimbursements for expenses and any services rendered relating to state or federal court matters, including any applicable amounts.
9. Indicate whether you have been disbarred or suspended from practicing and whether you have been disqualified from participating in federal programs.
10. Sign and date the form after confirming that all information is accurate to the best of your knowledge. Include your address and telephone number as necessary.
11. Once the form is completed, save your changes and download or print a copy for your records. Finally, share the completed SSA-1560-U4 with the required SSA office as per the instructions.

Complete your SSA-1560-U4 form online today for a smoother submission process!