[Your Name] [Your Address] [City, State, ZIP Code] [Email Address] [Phone Number] [Date] [Social Security Administration Office] [Office Address] [City, State, ZIP Code] Subject: Notification of Representation in an Appeal for Disability Benefits Dear [Social Security Administration Office], I am writing to formally notify the Social Security Administration (SSA) that I am appointing [Name of Representative] as my representative in my appeal for disability benefits in the state of Nevada. [Name of Representative] will act on my behalf and represent my interests throughout the appeal process. I have reached the decision to seek representation due to the complexity of the appeal process and the desire to ensure that my rights are protected and that all necessary documentation is properly filed. I have complete confidence in [Name of Representative]'s ability to handle my case competently and effectively. [Name of Representative] has extensive experience in handling disability benefits appeals in Nevada and has an in-depth understanding of the rules and regulations set forth by the SSA. [He/She] has represented numerous clients successfully, helping them secure the benefits they deserve. I request that all communication regarding my case, including any relevant forms, decisions, or other notifications, be sent directly to [Name of Representative] at the following address: [Representative's Name] [Representative's Address] [City, State, ZIP Code] [Representative's Email Address] [Representative's Phone Number] Furthermore, I authorize [Name of Representative] to request and obtain any necessary medical records, vocational reports, or other relevant documents needed to support my appeal. I understand that [Name of Representative] will act solely in my best interest and will maintain the confidentiality of my personal information. Furthermore, I kindly ask that you update your records to reflect this representation as soon as possible and communicate with [Name of Representative] for any further correspondence regarding my case. Thank you for your attention to this matter. Should you require any additional information or documentation, please do not hesitate to reach out to [Name of Representative] or me. Sincerely, [Your Name]