2014 SSA1696 (Formerly SSA1696U4) Fill Online, Printable, Fillable
Form Ssa-1696. For information on supplemental appointments. Web social security administration please read the instructions before completing this form.
2014 SSA1696 (Formerly SSA1696U4) Fill Online, Printable, Fillable
If you have a case before us and need assistance, you can appoint a representative to help you. Representative's withdrawal of acceptance of an appointment. In this document, “you” means the claimant, beneficiary, auxiliary or spouse. Do not forget to enter the claimant’s social security number and your rep id. Submit the original copy to ssa and keep a photocopy for your records. Or (b) to assist investigations or prosecutions with respect. Web social security administration please read the instructions before completing this form. Having form 1696 on file enables the social security administration to share information with your appointed. For information on supplemental appointments. Complete, sign, and date the section below and submit it to one of our offices.
For information on supplemental appointments. Or (b) to assist investigations or prosecutions with respect. If you have a case before us and need assistance, you can appoint a representative to help you. Complete, sign, and date the section below and submit it to one of our offices. Submit the original copy to ssa and keep a photocopy for your records. Sup1 (claimant’s revocation of the appointment of a representative) and sup2 (representative’s withdrawal of the. Do not forget to enter the claimant’s social security number and your rep id. In this document, “you” means the claimant, beneficiary, auxiliary or spouse. Representative's withdrawal of acceptance of an appointment. Web social security administration please read the instructions before completing this form. Having form 1696 on file enables the social security administration to share information with your appointed.