Form Ssa-1696

Fill Free fillable Form SSA1696U4 2018 Form to Appoint a

Form Ssa-1696. Submit the original copy to ssa and keep a photocopy for your records. Complete, sign, and date the section below and submit it to one of our offices.

Complete, sign, and date the section below and submit it to one of our offices. Representative's withdrawal of acceptance of an appointment. Title ii title xvi title xviii title viii Having form 1696 on file enables the social security administration to share information with your appointed. Sup1 (claimant’s revocation of the appointment of a representative) and sup2 (representative’s withdrawal of the. Or (b) to assist investigations or prosecutions with respect. Web (a) to enable them to protect the safety of social security administration (ssa) employees and customers, the security of the ssa workplace, and the operation of ssa facilities; In this document, “you” means the claimant, beneficiary, auxiliary or spouse. If you have a case before us and need assistance, you can appoint a representative to help you. Submit the original copy to ssa and keep a photocopy for your records.

Do not forget to enter the claimant’s social security number and your rep id. Web social security administration please read the instructions before completing this form. Submit the original copy to ssa and keep a photocopy for your records. Web (a) to enable them to protect the safety of social security administration (ssa) employees and customers, the security of the ssa workplace, and the operation of ssa facilities; In this document, “you” means the claimant, beneficiary, auxiliary or spouse. Title ii title xvi title xviii title viii Representative's withdrawal of acceptance of an appointment. Complete, sign, and date the section below and submit it to one of our offices. For information on supplemental appointments. Or (b) to assist investigations or prosecutions with respect. If you have a case before us and need assistance, you can appoint a representative to help you.