2014 SSA1696 (Formerly SSA1696U4) Fill Online, Printable, Fillable
Ssa-1696 Form. 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).
2014 SSA1696 (Formerly SSA1696U4) Fill Online, Printable, Fillable
Web form approved omb no. Ad upload, modify or create forms. In this document, “you” means the claimant, beneficiary, auxiliary or spouse. Representative's withdrawal of acceptance of an appointment. 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. If you have a case before us and need assistance, you can appoint a representative to help you. Keep a copy of this form for your records. You, the representative, can stop working for the claimant. Do not forget to enter the claimant’s social security number and your rep id.
You, the representative, can stop working for the claimant. Do not forget to enter the claimant’s social security number and your rep id. You, the representative, can stop working for the claimant. If you have a case before us and need assistance, you can appoint a representative to help you. Keep a copy of this form for your records. Complete, sign, and date the section below and submit it to one of our offices. This form is submitted to ssa as part of the complete application packet. Web form approved omb no. In this document, “you” means the claimant, beneficiary, auxiliary or spouse. Try it for free now! Web this article walks you through the form and provides tips for its completion.
