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Page 1 of 2 Representative Payee Request Revised 04/06/2015 Please print or type in black ink. Completed form and accompanying Notary Public Acknowledgement should be mailed or presented to PEERS.
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What is representative payee request?
A representative payee request is a form submitted to the Social Security Administration requesting an individual or organization to act as a representative payee for someone who is unable to manage their own Social Security or Supplemental Security Income (SSI) benefits.
Who is required to file representative payee request?
A legal guardian, caregiver, family member, or organization may be required to file a representative payee request on behalf of an individual who is unable to manage their own benefits.
How to fill out representative payee request?
The representative payee request form can be obtained from the Social Security Administration website or local office. The form must be completed with accurate information about both the beneficiary and the representative payee.
What is the purpose of representative payee request?
The purpose of a representative payee request is to ensure that Social Security or SSI benefits are managed responsibly on behalf of individuals who are unable to do so themselves due to age, mental incapacity, or disability.
What information must be reported on representative payee request?
The representative payee request form typically requires information about the beneficiary's personal details, the representative payee's relationship to the beneficiary, and any relevant legal documents supporting the need for a representative payee.
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