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This is the form to use to get permission to obtain information and/or records from SSA about a claimant or beneficiary you do not represent. The claimant or beneficiary may give consent to an individual or an organization to obtain the information and records.
You can choose an attorney or other qualified individual(s) to represent you. However, you can't have someone who, by law, can't act as a representative or who we previously suspended or disqualified from representing others.
We welcome those of you who wish to help another person apply for disability, retirement, spouse's, or Medicare benefits. You may be a friend, relative, attorney, paralegal, employer, or member of an advocacy group or organization.
On March 8, we released a new service to allow representatives to initiate an SSA-1696 notice of appointment online where they and their claimants can complete, sign and submit the form electronically with no personal contact.
If the applicant wishes to appoint you as his or her official representative, we will need a written statement appointing you to represent him or her in dealings with Social Security. You may use a Form SSA-1696 (Appointment of Representative) for this purpose.
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You may send us your comments on our estimated completion time to SSA, 6401 Security Blvd., Baltimore, MD 21235-6401. Send only comments relating to our time estimate to this address, not the completed form.
If the applicant wishes to appoint you as his or her official representative, we will need a written statement appointing you to represent him or her in dealings with Social Security. You may use a Form SSA-1696 (Appointment of Representative) for this purpose.
Your Representative ID is a unique number that connects your identity to the transactions you complete in NLAD and the National Verifier.
Form SSA-1696 | Claimant's Appointment of a Representative If you have a case before us and need assistance, you can appoint a representative to help you. Your representative can be an attorney or a non-attorney, but must be qualified and comply with our published rules of conduct.
Appointing a Representative You or your representative must file the completed form with us, in-person at your local field office, by mail, or by fax. Review and complete all required sections. If you are appointing multiple representatives, use separate forms for each representative.

form 1696