Form CMS-L564. Request for Employment Information

Form CMS-L564. Request for Employment Information

Form CMS-L564 - Request for Employment Information serves as a request for employment information and is typically required when individuals are applying for Medicare Part B based on their current employment status.

Form SSA-1693. Fee Agreement for Representation Before the Social Security Administration

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-1699. Registration for Appointed Representative Services and Direct Payment

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-1560. Petition For Authorization To Charge And Collect A Fee For Services Before The Social Security Administration

Form SSA-1560. Petition For Authorization To Charge And Collect A Fee For Services Before The Social Security Administration

Form SSA-1560, the Petition For Authorization To Charge And Collect A Fee For Services Before The Social Security Administration, is used by representatives, attorneys, and other individuals who provide services to claimants seeking Social Security benefits.

Form SSA-131. Employer Report of Special Wage Payments

Form SSA-131. Employer Report of Special Wage Payments

Form SSA-131, Employer Report of Special Wage Payments, is used by employers to report special wage payments made to employees. This form's primary purpose is to report specific types of wage payments that may impact a person's Social Security benefits or earnings record.

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

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 IRS W-4V. Voluntary Withholding Request

Form IRS W-4V. Voluntary Withholding Request

Form IRS W-4V - Voluntary Withholding Request serves as a request for voluntary tax withholding. The primary purpose of this form is to allow individuals receiving Social Security benefits to request the withholding of federal income tax from their benefits payments.

Form SSA-21. Supplement to Claim of Person Outside the United States

Form SSA-21. Supplement to Claim of Person Outside the United States

Form SSA-21, the Supplement to Claim of Person Outside the United States, is used by individuals who reside outside the United States and wish to apply for certain Social Security benefits.

Form SSA-186. Temporary Institutionalization Statement to Maintain Household and Physician Certification

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 HA-539. Notice Regarding Substitution of Party Upon Death of Claimant

Form HA-539. Notice Regarding Substitution of Party Upon Death of Claimant

Form HA-539 - Notice Regarding Substitution of Party Upon Death of Claimant is used to notify the Social Security Administration about the substitution of a party following the death of a claimant.