We could not process the appointed representative forms you submitted for [INSERT: Claimant’s Name] because [INSERT: Claimant’s Name] does not have a matter pending before us or did not have a matter pending before us at the time we received your forms.

If your client intends to file a claim for benefits, an appeal or other matter, or you submitted an iClaim on their behalf, please re-submit your documents once this matter is filed.

Please resubmit your appointment forms after your client files a matter, such as a claim for benefits with us. If you submitted an iClaim on your client’s behalf, please resubmit your appointment forms after the iClaim has been properly signed.

Suspect Social Security Fraud?

If you suspect Social Security fraud, please visit http://oig.ssa.gov/r or call the Inspector General's Fraud Hotline at 1-800-269-0271 (TTY 1-866-501-2101).

 

If You Have Questions

We invite you to visit our Representing Claimants website at https://www.socialsecurity.gov to find general information about Social Security. If you have any specific questions, you may call us toll-free

at 1-800-772-1213, or call your local Social Security office at 866-331-2307. We can answer most questions over the phone. If you are deaf or hard of hearing, you may call our TTY number, 1-800-325-0778, 1-800-325-0778 between 7:00 a.m. and 5:30 p.m. Eastern time. You can also write or visit any Social Security office. The office that serves your area is located at:

SOCIAL SECURITY

STREET

CITY, STATE ZIP

If you do call or visit an office, please have this letter with you. It will help us answer your questions. Also, if you plan to visit an office, you may call ahead to make an appointment.

This will help us serve you more quickly when you arrive at the office.

We could not process the request to appoint a representative submitted for [CLAIMANT] because we did not receive a complete, current Form SSA-1696, Claimant’s Appointment of a Representative. If [CLAIMANT] still wishes to appoint a representative, you must submit a complete, current version of Form SSA-1696. The current version of this form is available online in PDF format at https://www.ssa.gov/forms/ssa-1696.pdf. A current electronic version of this form can be submitted through our e1696 portal at www.ssa.gov/representation. Please note that we no longer accept prior versions of this form. For us to process Form SSA-1696, you must submit and ensure the accuracy of all of the following information:

• •

  The claimant's name, Social Security Number (SSN), and signature (Sections 1 and 8);

• •

  The representative's name, Representative Identification Number (RepID), and signature (Sections 2 and 8); and

• •

  The representative’s status and certifications (Section 5, parts A and D).

Suspect Social Security Fraud?

Please visit http://oig.ssa.gov/r or call the Inspector General's Fraud Hotline at 1-800-269-0271 (TTY 1-866-501-2101).

Need more help?

1. Visit www.ssa.gov for fast, simple, and secure online service.

 

2.  Call us at 1-800-772-1213, weekdays from 8:00 am to 7:00 pm. If you are deaf or hard of hearing, call TTY 1-800-325-0778. Please mention this letter when you call.

3. You may also call your local office [Local FO Telephone number]

SOCIAL SECURITY

STREET

CITY, STATE ZIP

How are we doing? Go to www.ssa.gov/feedback to tell us.