Download Form SSA 1696 for Free Page 4 FormTemplate
Ssa-1696 Form. Representative's withdrawal of acceptance of an appointment. In this document, “you” means the claimant, beneficiary, auxiliary or spouse.
Download Form SSA 1696 for Free Page 4 FormTemplate
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. Title ii title xvi title xviii title viii General information about this form revocation of a representative’s appointment Representative's withdrawal of acceptance of an appointment. This form is submitted to ssa as part of the complete application packet. Web this article walks you through the form and provides tips for its completion. Complete, sign, and date the section below and submit it to one of our offices. Keep a copy of this form for your records. Sup1 (claimant’s revocation of the appointment of a representative) and sup2 (representative’s withdrawal of the acceptance of an appointment).
Representative's withdrawal of acceptance of an appointment. Representative's withdrawal of acceptance of an appointment. Keep a copy of this form for your records. Ad upload, modify or create forms. “us” and “ssa” means the social security administration. In this document, “you” means the claimant, beneficiary, auxiliary or spouse. You, the representative, can stop working for the claimant. Web this article walks you through the form and provides tips for its completion. Try it for free now! Web form approved omb no. If you have a case before us and need assistance, you can appoint a representative to help you.
