Download Form SSA 1696 for Free Page 3 FormTemplate
Ssa-1696 Form. You, the representative, can stop working for the claimant. Complete, sign, and date the section below and submit it to one of our offices.
Download Form SSA 1696 for Free Page 3 FormTemplate
Sup1 (claimant’s revocation of the appointment of a representative) and sup2 (representative’s withdrawal of the acceptance of an appointment). 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 You, the representative, can stop working for the claimant. Web this article walks you through the form and provides tips for its completion. Ad upload, modify or create forms. “us” and “ssa” means the social security administration. Keep a copy of this form for your records. Web form approved omb no. If you have a case before us and need assistance, you can appoint a representative to help you.
“us” and “ssa” means the social security administration. Keep a copy of this form for your records. This form is submitted to ssa as part of the complete application packet. In this document, “you” means the claimant, beneficiary, auxiliary or spouse. You, the representative, can stop working for the claimant. Title ii title xvi title xviii title viii General information about this form revocation of a representative’s appointment 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. Sup1 (claimant’s revocation of the appointment of a representative) and sup2 (representative’s withdrawal of the acceptance of an appointment). Web form approved omb no.
