TN 5 (04-95)

GN 03930.155 Form SSA-1560-U4 (Petition to Obtain Approval of a Fee for Representing a Claimant Before the Social Security Administration)

A. When to use

A representative may use this form to request SSA's approval of a fee for services provided in representing the claimant(s) in proceedings before SSA. (A representative also may petition for fee approval by providing, in another written form, the same information the SSA-1560-U4 solicits.) The representative also sends a copy to the claimant(s).

B. Exhibit - English

To view this form, go toSSA-1560-U4.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0203930155
GN 03930.155 - Form SSA-1560-U4 (Petition to Obtain Approval of a Fee for Representing a Claimant Before the Social Security Administration) - 07/16/2012
Batch run: 07/17/2012
Rev:07/16/2012