Ssa 1696 u4-2026

1. Click ‘Get Form’ to open the SSA 1696 U4 in our editor.
2. Begin by entering your full name and Social Security number at the top of the form. If applicable, include the wage earner's name and Social Security number.
3. In Part 1, appoint your representative by filling in their name and address. Ensure you check the appropriate program box under which you have a claim.
4. Authorize your representative to receive information by checking the designated block. If you have multiple representatives, indicate your principal representative.
5. Sign and date the form, providing your contact information including phone number.
6. In Part 2, your appointed representative must accept their appointment by signing and providing their details.
7. Complete Part 3 regarding fee arrangements. Your representative should select an option that reflects how they will charge for their services.
8. Once completed, save your document and send it to your local Social Security office as instructed.

Start using our platform today to fill out your SSA 1696 U4 form easily and for free!