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@ Social Security Complete the Notice of Appointment (Form SSA1696) Instructions for RepresentativesThis service allows you and the individual you agree to represent (i.e., the claimant) to complete
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How to fill out form ssa-1696appointment of representative

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How to fill out form ssa-1696appointment of representative

01
Obtain form SSA-1696 Appointment of Representative from the Social Security Administration website or local office.
02
Fill in your personal information including name, social security number, contact information, and date of birth.
03
Fill in the representative's information including name, address, phone number, and relationship to you.
04
Sign and date the form to authorize the representative to act on your behalf.
05
Submit the completed form to the Social Security Administration by mail or in person.

Who needs form ssa-1696appointment of representative?

01
Individuals who require assistance with Social Security matters and want to authorize a representative to act on their behalf.
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Form ssa-1696, also known as the Appointment of Representative form, is used by individuals who want to appoint someone to represent them in matters related to the Social Security Administration (SSA).
Individuals who wish to have a representative assist them with their Social Security matters are required to file Form ssa-1696.
To fill out Form ssa-1696, you must provide your personal information, the representative's information, and sign the form to authorize the representative to act on your behalf.
The purpose of Form ssa-1696 is to officially appoint a representative to act on behalf of an individual in dealings with the SSA.
Form ssa-1696 requires the individual's personal information, the representative's information, and signatures from both parties.
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