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Social Security AdministrationForm Approved
OMB No. 09600527Please read the instructions before completing this form.
Name (Claimant) (Print or Type)Social Security Numbering Earner (If Different)Social
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What is form ssa-1696-u4 05?
Form SSA-1696-U4 05 is the Appointment of Representative form used by individuals to appoint a representative to help them with their Social Security matters.
Who is required to file form ssa-1696-u4 05?
Any individual who wants to appoint a representative to assist them with Social Security matters is required to file form SSA-1696-U4 05.
How to fill out form ssa-1696-u4 05?
To fill out form SSA-1696-U4 05, the individual must provide their personal information, the representative's information, and sign and date the form.
What is the purpose of form ssa-1696-u4 05?
The purpose of form SSA-1696-U4 05 is to authorize a representative to act on behalf of an individual in Social Security matters.
What information must be reported on form ssa-1696-u4 05?
Form SSA-1696-U4 05 requires information about the individual appointing the representative, as well as the representative's contact information and relationship to the individual.
When is the deadline to file form ssa-1696-u4 05 in 2023?
The deadline to file form SSA-1696-U4 05 in 2023 is typically within a reasonable time of appointing a representative.
What is the penalty for the late filing of form ssa-1696-u4 05?
There is no specific penalty mentioned for the late filing of form SSA-1696-U4 05, but it is important to file it promptly to avoid delays in receiving assistance from the representative.
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