Identification Number:
GN 03910 TN 12
Intended Audience:See Transmittal Sheet
Originating Office:ORDP ODP
Title:Representation of Claimants
Type:POMS Transmittals
Program:All Programs
Link To Reference:
 

PROGRAM OPERATIONS MANUAL SYSTEM
Part GN – General
Chapter 039 – Representation and Representative's Fee
Subchapter 10 – Representation of Claimants
Transmittal No. 12, 01/24/2020

Audience

PSC: BA, CA, CS, DE, DEC, DS, ICDS, IES, ILPDS, IPDS, ISRA, PETE, RECONR, SCPS, TSA, TST;
OCO-OEIO: BIES, CAQCR, CR, PETL, RECONR, RECOVR;
OCO-ODO: BTE, CR, CST, CTE, CTE TE, DS, PETE, PETL, RECOVR, RECOVTA;
ODD-DDS: DHU;
FO/TSC: CS, CS TII, CS TXVI, CSR, CTE, FR, OA, OS, RR, TA, TSC-CSR;

Originating Component

ODP

Effective Date

Upon Receipt

Background

With the consolidation of all forms, exhibits and notices into GN 03905, this POMS section becomes obsolete. This is a Quick Action Transmittal. The archival do not change or introduce new policy or procedure.

Summary of Changes

GN 03910.090 Representation of Claimants - Exhibits

A. Exhibit 1 - Model Representation Referral List

This exhibit was moved to GN 03905.005.

B. Exhibit 2 - Form SSA-1696-U4 (Appointment of Representative)

This exhibit was moved to GN 03905.030.

C. Exhibit 3 - Form SSA-L1697-U3 (Notice to Representative of Claimant Before the Social Security Administration)

This exhibit was moved to GN 03905.035.

D. Exhibit 4 - Form SSA-1128 (Representative Involved)

This exhibit was moved to GN 03905.025.

E. Exhibit 5 – Form SSA-1694 (Request For Business Entity Taxpayer Information)

This exhibit was moved to GN 03905.020.

F. Exhibit 6 – Form SSA-1695 (Identifying Information for Possible Direct Payment of Authorized Fees)

This form will be archived. The information is merged into form SSA-1696.

G. Exhibit 7 – Form SSA-1699 (Registration for Appointed Representative Services and Direct Payment)

This exhibit was moved to GN 03905.010.

H. Exhibit 8– Preprinted Notice (Return of Form SSA-1695 and/or SSA-1699)

This exhibit was moved to GN 03905.055.

I. Exhibit 9 – Preprinted Notice (SSA-1695 Acknowledgement of Receipt and Input)

This exhibit was moved to GN 03905.050.

H. Exhibit 10 - Form SSA-1693 - Fee Agreement for Representation before the Social Security Administration

This exhibit was moved to GN 03905.050

 

Conversion Table
Old POMS ReferenceNew POMS Reference
GN 03910.090GN 03905.000

GN 03910 TN 12 - Representation of Claimants - 1/24/2020