Form SSA-1696 Claimant's Appointment of a Representative

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form SSA-1696 for the current year.

Form SSA-1696 Claimant's Appointment of a Representative

What Is Form SSA-1696?

This is a legal form that was released by the U.S. Social Security Administration on February 1, 2020 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form SSA-1696?
A: Form SSA-1696 is a document used to appoint a representative for Social Security claims.

Q: Who can use Form SSA-1696?
A: Any individual applying for or receiving Social Security benefits can use Form SSA-1696 to appoint a representative.

Q: What is the purpose of appointing a representative?
A: Appointing a representative allows someone to act on your behalf in matters related to your Social Security claim.

Q: Is there a fee to appoint a representative on Form SSA-1696?
A: No, there is no fee to appoint a representative using Form SSA-1696.

Q: Do I need to submit Form SSA-1696 with my initial Social Security claim?
A: No, you can submit Form SSA-1696 at any time during the processing of your claim.

Q: How long does it take for the representative appointment to become effective?
A: The representative appointment becomes effective once the Social Security Administration approves the appointment.

Q: Can I revoke or change my representative after submitting Form SSA-1696?
A: Yes, you can revoke or change your representative at any time by submitting a new Form SSA-1696.

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Form Details:

  • Released on February 1, 2020;
  • The latest available edition released by the U.S. Social Security Administration;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form SSA-1696 by clicking the link below or browse more documents and templates provided by the U.S. Social Security Administration.

Download Form SSA-1696 Claimant's Appointment of a Representative

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