Form SSA-1696-SUP2. Representative's Withdrawal of Acceptance of Appointment

Form SSA-1696-SUP2, the Representative's Withdrawal of Acceptance of Appointment, is used by representatives to officially withdraw their acceptance of an appointment by a claimant. The main purpose of this form is to allow representatives to decline or withdraw their representation of a claimant before the Social Security Administration.

For instance, if a representative initially accepted an appointment but later needs to withdraw their acceptance, they would use this form to make the withdrawal official. The purpose is to provide a clear and documented record of the representative's decision to withdraw from representation.

The parties involved are representatives who have accepted appointments and the claimants they were representing. The form consists of sections for the representative's information, the claimant's information, and the reason for the withdrawal. Accurate and timely submission of this form is important to inform the claimant and the SSA of the withdrawal.