Appointed Representative Service

Online Services Availability
  • Monday-Friday: 5 AM - 1 AM ET
  • Saturday: 5 AM - 11 PM ET
  • Sunday: 8 AM - 11:30 PM ET
  • Are you a current user of the Appointed Representative Suite of Services? Select this link to login.
  • Did you receive a notice containing your USER ID and REP ID? Select this link to create a password.
  • Do you need to complete Form SSA-1699?
    Complete this form if you:
    • Want to register for direct payment of fees,
    • Registered for direct payment of fees prior to 10/31/2009 and need to update your information (check the Initial Registration box on the form),
    • Registered as an appointed representative on or after 10/31/2009 and need to update your information (check the Update of Prior Registration box on the form), or
    • Received a notice from SSA instructing you to complete this form.

      NOTE: If you are not in the business of providing services to SSA claimants and beneficiaries, but will be appointed as a representative for a relative, friend, or other acquaintance, YOU DO NOT NEED TO COMPLETE THIS FORM.

      Online access to Form SSA-1699 for Appointed Representative services is temporarily unavailable.

      We appreciate your patience while we improve this process. You may still register or update your information using Form SSA-1699 "Registration of Individuals and Staff for Appointed Representative Services" by following instructions in the PDF document below.

      PDF icon Registration of Individuals and Staff for Appointed Representative Services, Form SSA-1699

      Complete, print, and fax Form SSA-1699 to (570) 270-7307. Do not fax more than one SSA-1699 at a time.

      • What happens next? We will process your completed form and mail a notice that includes additional information. Please allow 2 to 3 weeks to receive your notice.
  • Do you have questions about this process?
    Call 1-800-772-6270 for assistance. If you are hearing impaired call our TTY number at
    1-800-325-0078.