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Form SSA1696 (092019) OF Discontinue Prior Editions Social Security Administration Page 3 of 6 OMB No. 09600527Claimants Social Security Number Appointed Representatives Rep ID Q6BK63NRH5Claimants
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Fill out the personal details section, including your full name, contact information, and any other requested information.
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Provide the necessary information about the company or individual you are representing as an appointed representative.
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Appointed representatives rep id is a unique identifier given to representatives who are appointed to act on behalf of an individual or entity.
Individuals or entities who have appointed representatives to act on their behalf are required to file appointed representatives rep id.
To fill out appointed representatives rep id, provide the necessary information about the appointed representative, including their contact information and role.
The purpose of appointed representatives rep id is to track and identify individuals or entities who have appointed representatives to act on their behalf.
Information such as name, contact details, and role of the appointed representative must be reported on appointed representatives rep id.
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2019 1820 ssa claimant uf weisberg clifford ein payee rsdi pllc designees socialsecurity southfield ssn svb omb ssi attestations claimants asserted certifications representational overpayment tty contractual cdr concurrent entitlement exclusion eligibilit

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