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Form SSA1696 (092019) UF Discontinue Prior Editions Social Security AdministrationPage 3 of 6 0MB No. 09600527.rClaimant\'s Social Security Number1 11 I I1 I 1Appointed Representative\'s Rep ID.Claimant\'s
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How to fill out appointment of representative ssa

01
Obtain the Appointment of Representative form SSA-1696 from the Social Security Administration (SSA) office or website.
02
Fill out all necessary information on the form, including the claimant's name, social security number, and contact information.
03
Indicate the type of appointment being made (e.g. authorized representative, claimant representative, etc.).
04
Provide details about the representative including their name, address, and relationship to the claimant.
05
Sign and date the form, and have the claimant or their legal guardian also sign if applicable.
06
Submit the completed form to the SSA office either in person, by mail, or online through the SSA website.

Who needs appointment of representative ssa?

01
Individuals who are unable to manage their own Social Security affairs due to physical or mental incapacity.
02
Minors or individuals who are unable to communicate effectively with the SSA.
03
Claimants who wish to have someone else represent them in dealings with the SSA.
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The Appointment of Representative (Form SSA-11) is a document that allows an individual to designate someone to act on their behalf in matters related to Social Security Administration (SSA) benefits.
Individuals who want to appoint someone to represent them in dealings with the SSA, particularly for issues regarding Social Security benefits or claims, are required to file the Appointment of Representative.
To fill out the Appointment of Representative form, individuals need to provide their personal information, details about the representative being appointed, and sign the form to authorize the representation.
The purpose of the Appointment of Representative is to ensure that the appointed individual has the authority to communicate and act on behalf of the person in matters concerning their SSA claims and benefits.
The information that must be reported includes the claimant's name, Social Security number, the representative's name and address, and the scope of the authority being granted.
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