Fillable Form SSA1696U4 Free Printable PDF Sample FormSwift
Ssa-1696 Form. Representative's withdrawal of acceptance of an appointment. Web form approved omb no.
Fillable Form SSA1696U4 Free Printable PDF Sample FormSwift
“us” and “ssa” means the social security administration. Complete, sign, and date the section below and submit it to one of our offices. Title ii title xvi title xviii title viii Web form approved omb no. Keep a copy of this form for your records. Representative's withdrawal of acceptance of an appointment. In this document, “you” means the claimant, beneficiary, auxiliary or spouse. If you have a case before us and need assistance, you can appoint a representative to help you. Web this article walks you through the form and provides tips for its completion. Do not forget to enter the claimant’s social security number and your rep id.
Keep a copy of this form for your records. Title ii title xvi title xviii title viii You, the representative, can stop working for the claimant. Try it for free now! 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). Ad upload, modify or create forms. General information about this form revocation of a representative’s appointment Do not forget to enter the claimant’s social security number and your rep id. If you have a case before us and need assistance, you can appoint a representative to help you.
