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Upon publication of the revised SSA-1696, we made Form SSA-1695 obsolete.

Use the SSA-4164 when the beneficiary is in the local office and agrees to the appointment and the interviewer has determined that the payee applicant is the best payee choice. This usually occurs where a very stable beneficiary/payee relationship (e.g., parent/adult-child, married couple) exists.

In order to receive direct payment, an attorney or a qualified non-attorney must complete direct payment information in section 5 of Form SSA-1696 each time he or she is appointed to represent a claimant before SSA.

What Is Form SSA-1696-U4? Social Security Form SSA-1696-U4 is a form that allows you to appoint a third party to represent you when you deal with the Social Security Administration (SSA). You can choose to have an attorney as your representative or you can appoint any qualified individual you wish.

What Do Supervisory Special Agents Do? A supervisory special agent is a specific job within the Federal Bureau of Investigation (FBI). It gives them with the responsibility of leading teams of special agents in investigations.

If you decide to appoint someone to help you with your case, you must tell us in writing. You can sign and submit a written statement appointing the person, or use our standard form SSA-1696, Appointment of Representative.

If the applicant wishes to appoint you as his or her official representative, we will need a written statement appointing you to represent him or her in dealings with Social Security. You may use a Form SSA-1696 (Appointment of Representative) for this purpose.

If you have a case before us and need assistance, you can appoint a representative to help you. Your representative can be an attorney or a non-attorney, but must be qualified and comply with our published rules of conduct.