Representatives must use the Form SSA-1696 to assign direct payment of any authorized
fee to an entity they affiliated with through registration. To make an assignment,
representatives add the EIN and the entity’s name to designate an affiliate on that
claim and select the assignment option in Section 5 of Form SSA-1696.
Representatives who previously submitted a Form SSA-1696 for the case may make or
change an assignment by completing and submitting only Sections 1 and 5 of the form,
but they must ensure that their Rep ID, the claimant's SSN, and the entity’s EIN information
are included on the page for processing. They must further ensure that they have affiliated
with the entity using a Form SSA-1699 during the registration process.
Similarly, representatives rescind an assignment by submitting an updated Form SSA-1696
with the rescission of a prior assignment option in Section 5 selected or by submitting
an updated form SSA-1696 with a new assignment to a different entity. For more information
on rescinding an assignment, see GN 03920.021.
Representatives may make or rescind an assignment before the date we notify the claimant
of our first favorable determination or decision on a case. For more information on
assignment of direct fee payments and on rescinding a previously submitted assignment,
see GN 03920.021 and GN 03910.040F.
NOTE: Representatives may only assign direct payment of a fee to an entity they affiliate
with during registration. For more information on registration, see GN 03913.005.