2009 Form SSA632BK Fill Online, Printable, Fillable, Blank pdfFiller
Ssa-1696 Form. Sup1 (claimant’s revocation of the appointment of a representative) and sup2 (representative’s withdrawal of the acceptance of an appointment). Keep a copy of this form for your records.
2009 Form SSA632BK Fill Online, Printable, Fillable, Blank pdfFiller
Representative's withdrawal of acceptance of an appointment. General information about this form revocation of a representative’s appointment You, the representative, can stop working for the claimant. In this document, “you” means the claimant, beneficiary, auxiliary or spouse. Title ii title xvi title xviii title viii If you have a case before us and need assistance, you can appoint a representative to help you. This form is submitted to ssa as part of the complete application packet. Complete, sign, and date the section below and submit it to one of our offices. “us” and “ssa” means the social security administration. Do not forget to enter the claimant’s social security number and your rep id.
You, the representative, can stop working for the claimant. Keep a copy of this form for your records. Try it for free now! This form is submitted to ssa as part of the complete application packet. You, the representative, can stop working for the claimant. “us” and “ssa” means the social security administration. Do not forget to enter the claimant’s social security number and your rep id. General information about this form revocation of a representative’s appointment If you have a case before us and need assistance, you can appoint a representative to help you. In this document, “you” means the claimant, beneficiary, auxiliary or spouse. Complete, sign, and date the section below and submit it to one of our offices.
