Ssa 1695-2025

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SSA-1699 Request Registration of Individuals and Staff for Appointed Representative Services.
File Form SSA-1693 only if you are submitting or have submitted a notice of appointment (i.e., SSA-1696 or equivalent writing) on an active claim or issue pending decision with us. In this document, \u201cyou\u201d means the claimant, beneficiary, auxiliary beneficiary or spouse.
Form SSA-1724 (Claim for Amounts Due in the Case of a Deceased Beneficiary) We do not require the use of a particular form to request payment of an underpayment. However, Form SSA-1724 (Claim for Amounts Due in the Case of a Deceased Beneficiary) is intended for this purpose.
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Direct Payment A direct payment is an authorized fee paid directly to an eligible appointed representative for services rendered at the administrative or federal court level. SSA makes this payment by withholding up to 25% of a claimant's past-due benefits.
Social Security The dollar fee limits are subject to increase by the cost-of-living adjustment, with the resulting amounts rounded to the nearest whole dollar amount. The current $45 amount increases by 5.9 percent to $48 for 2022, and the current $84 amount increases to $89 for 2022.
The form SSA-1695, Identifying Information for Possible Direct Payment of Authorized Fees, is now obsolete, and has been incorporated into form SSA-1696.
Send the completed form to your local Social Security office. If you have any questions, you may call us toll-free at 1-800-772-1213 Monday through Friday from 7 a.m. to 7 p.m. If you are deaf or hard of hearing, you may call our TTY number, 1-800-325-0778.
Form SSA-1696 is used by the Social Security Administration (SSA) to document your appointment of a representative in your dealings with the SSA. The form will contain your representative's name, address, and phone number, as well as yours, and is valid only when signed by you or your parent or legal guardian.

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