Form SSA-1696-SUP1. Claimant's Revocation of the Appointment of a Representative

Form SSA-1696-SUP1 serves as the Claimant's Revocation of the Appointment of a Representative. The primary purpose of this form is to allow claimants to revoke their appointment of a representative who was previously authorized to act on their behalf in Social Security matters.

For example, if a claimant decides that they no longer wish to have a representative representing them in dealings with the Social Security Administration, they would use this form to formally revoke the appointment. The purpose is to provide a clear and documented revocation of the representative's authority.

The parties involved are claimants who have appointed a representative and the representative themselves. The form consists of sections for the claimant's information, details of the representative they are revoking, and the reason for the revocation. It's important to carefully complete this form to ensure the revocation is properly documented.