Form SSA 1696-U4, Appointment of Representative form, is used to appoint someone to represent the person who is applying to receive social security benefits. If the representative is a lawyer, the lawyer may not begin charging the applicant until they receive approval from the Social Security Administration. Both the applicant and the suggested representative must sign this document before it is submitted.
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This form will be used by the Social Security Administration for the purpose of dealing with various Social Security benefits. A Form SSA 1696-U4 is known as an Appointment of Representative form. This person will represent the individual who is applying for benefits through Social Security. The representative can be a lawyer or a non-attorney. Representatives cannot charge the applicant until the Social Security Administration authorizes the fee.
This form serves as a written statement to allow someone to be your representative in your Social Security case. The claimant will need to include their personal information, including social security number, in order to be identified. They will need to indicate the role their representative will be taking. The person who is becoming a representative will then need to make a statement saying they are accepting the role. Both parties must sign the form before submitting it.
To complete a SSA-1696-U4, you will need to provide the following information:
