Fillable Form SSA-1696-U4 (03-2011) - Appointment of Representative - SSA - ssa
COMPLETING THIS FORM TO APPOINT A REPRESENTATIVE
Choosing to be Represented You can choose to have a representative help you when you do business with Social Security. We will work with your representative, just as we would with you. It is important that you select a qualified person because, once appointed, your representative may act for you in most Social Security matters. We give more information, and...
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