Form SSA-1691. Eligible Non-Attorney Representative Application
Form SSA-1691 serves as the Eligible Non-Attorney Representative Application. The main purpose of this form is to allow non-attorney representatives to apply for eligibility to represent claimants before the Social Security Administration (SSA).
Form SSA-1693. Fee Agreement for Representation Before the Social Security Administration
Form SSA-1693, the Fee Agreement for Representation Before the Social Security Administration, is used to formalize the fee arrangement between representatives and claimants for representing them before the SSA.
Form SSA-1694. Request for Business Entity Taxpayer Information
Form SSA-1694 is used for the Request for Business Entity Taxpayer Information. The primary purpose of this form is to collect taxpayer information from business entities that provide representation services to claimants before the SSA.
Form SSA-1696. Claimant's Appointment of Representative
Form SSA-1696, the Claimant's Appointment of Representative, is used by individuals seeking representation in their dealings with the SSA. Its main purpose is to allow claimants to officially appoint a representative to act on their behalf in SSA matters.
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.
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.
Form SSA-1699. Registration for Appointed Representative Services and Direct Payment
Form SSA-1699 is used for Registration for Appointed Representative Services and Direct Payment.
Form SSA-186. Temporary Institutionalization Statement to Maintain Household and Physician Certification
Form SSA-186 serves as the Temporary Institutionalization Statement to Maintain Household and Physician Certification. The main purpose of this form is to allow individuals to report temporary institutionalization and maintain their household certification for Social Security purposes.
Form SSA-1945. Statement Concerning Your Employment in a Job Not Covered by Social Security
Form SSA-1945, the Statement Concerning Your Employment in a Job Not Covered by Social Security, is used to report employment in positions not covered by Social Security.
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.