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Page 1 of 2 OMB No. 09600527Form SSA1696SUP2 (072019) Social Security AdministrationInstructions for Completing Form SSA1696SUP2 Keep a copy of this form for your records In this document, you mean

How to fill out ssa 1696 sup 2

How to fill out form ssa-1696-sup2 07-2019

1. Start by reading the instructions on the first page of the form.
2. Fill out your personal information in section 1, including your name, Social Security number, and contact information.
3. Provide the name, address, and phone number of the person or organization who you want to appoint as your representative in section 2.
4. Indicate the type of representative you are appointing in section 3, whether it's an individual or an organization.
5. Fill out the representative's contact information in section 4, including their name, address, phone number, and relationship to you.
6. Read the statement in section 5 and sign and date the form in the appropriate spaces.
7. If you have any additional remarks or information, you can provide them in section 6.
8. Make a copy of the completed form for your records.
9. Mail the original form to the appropriate Social Security office or submit it online if available.

Who needs form ssa-1696-sup2 07-2019?

1. Form SSA-1696-SUP2 07-2019 is needed by individuals who want to appoint a representative to handle their Social Security matters.
2. This form is typically used by claimants who require assistance or representation in dealing with the Social Security Administration.
3. The representative can be an individual such as a family member, friend, or attorney, or it can be an organization like a legal aid society or advocacy group.
4. By completing this form, the claimant authorizes the representative to act on their behalf in matters regarding their Social Security benefits.

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