Form SSA-199. Vocational Rehabilitation Provider Claim

Form SSA-199 is the Vocational Rehabilitation Provider Claim. The main purpose of this form is to allow vocational rehabilitation providers to claim payments for their services in assisting individuals with disabilities to prepare for and find employment.

For example, a vocational rehabilitation provider who has provided services to a disabled individual would use this form to claim payment for their services. The purpose is to establish a formal process for the provider to receive compensation for their vocational rehabilitation efforts.

The parties involved are vocational rehabilitation providers and the SSA. The form consists of sections for the provider's information, details of services rendered, and payment claim information. Accurate completion of this form is essential for receiving payment for services.