Download Form SSA 1696 for Free Page 6 FormTemplate
Ssa-1696 Form. General information about this form revocation of a representative’s appointment Representative's withdrawal of acceptance of an appointment.
Download Form SSA 1696 for Free Page 6 FormTemplate
General information about this form revocation of a representative’s appointment In this document, “you” means the claimant, beneficiary, auxiliary or spouse. If you have a case before us and need assistance, you can appoint a representative to help you. You, the representative, can stop working for the claimant. Ad upload, modify or create forms. Complete, sign, and date the section below and submit it to one of our offices. Title ii title xvi title xviii title viii Do not forget to enter the claimant’s social security number and your rep id. Sup1 (claimant’s revocation of the appointment of a representative) and sup2 (representative’s withdrawal of the acceptance of an appointment). Keep a copy of this form for your records.
Do not forget to enter the claimant’s social security number and your rep id. Web this article walks you through the form and provides tips for its completion. Keep a copy of this form for your records. Web form approved omb no. Title ii title xvi title xviii title viii If you have a case before us and need assistance, you can appoint a representative to help you. 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. This form is submitted to ssa as part of the complete application packet. Complete, sign, and date the section below and submit it to one of our offices. You, the representative, can stop working for the claimant.
