Download Form SSA 1696 for Free Page 4 FormTemplate
Ssa-1696 Form. Ad upload, modify or create forms. If you have a case before us and need assistance, you can appoint a representative to help you.
Download Form SSA 1696 for Free Page 4 FormTemplate
Do not forget to enter the claimant’s social security number and your rep id. General information about this form revocation of a representative’s appointment Web form approved omb no. Try it for free now! This form is submitted to ssa as part of the complete application packet. Sup1 (claimant’s revocation of the appointment of a representative) and sup2 (representative’s withdrawal of the acceptance of an appointment). 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. Web this article walks you through the form and provides tips for its completion. Keep a copy of this form for your records.
This form is submitted to ssa as part of the complete application packet. 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. Title ii title xvi title xviii title viii “us” and “ssa” means the social security administration. Do not forget to enter the claimant’s social security number and your rep id. Keep a copy of this form for your records. Web form approved omb no. In this document, “you” means the claimant, beneficiary, auxiliary or spouse. Sup1 (claimant’s revocation of the appointment of a representative) and sup2 (representative’s withdrawal of the acceptance of an appointment). This form is submitted to ssa as part of the complete application packet.
