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Appointment of Representative - Form SSA-1696 |
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Introduction |
Representatives may be attorneys but need not be. Every representative must meet specific qualifications and follow the Social Security Administration’s (SSA) rules of conduct and standards of responsibility. Individuals who do not meet these criteria cannot be appointed as representatives. Generally, representatives do not charge a fee unless you win your case. Before your representative charges you a fee, SSA must authorize that fee. If you do not know the name of a representative in your area and you want to hire a representative, your local SSA office can provide you a referral list of legal services, legal aid or community organizations, to help you with your search. If you decide to have a representative, you must sign, date and submit to SSA a written statement appointing the individual you choose to represent you in your dealings with SSA. You may use Form SSA-1696 (Appointment of Representative) for this purpose. |
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How to Obtain the Form |
You can find the form below in Portable
Document Format (PDF). To print
the PDF version, you will need the Adobe Acrobat reader software. If you
do not already have this special software, see our page
on downloading and printing PDF documents.
After you download the Adobe Acrobat Reader, come back to this page and download the PDF version of the SSA-1696: |
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How to Complete the Form |
Instructions for completing and signing Form SSA-1696 (Appointment of
Representative) are on the form. |
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Where To Send The Form |
Mail or deliver the form to your local Social Security office. If you are
not sure where
your local office is located, try our Social
Security Office Locator service or call |
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Last reviewed or modified Wednesday Feb 09, 2011 |
