A representative’s appointment ends when the representative notifies us of the withdrawal
in a dated and signed writing. The representative may use Form SSA-1696-SUP2, “Representative’s Withdrawal of Acceptance of an Appointment,” or any dated and
signed writing that notifies us of their withdrawal. We will accept a document notifying
us that multiple representatives are withdrawing from a pending case at the same time
if each representative attempting to withdraw signs and dates the document. We do
not accept documents from any person other than the appointed representative who is
withdrawing from the case.
After withdrawing from a case, a representative cannot receive or request any information
about the case, except when it is either requested with the claimant’s written permission
(e.g., a new Form SSA-3288 "Consent for Release of Information," signed and dated
after the withdrawal) that meets our requirements or consistent with other disclosure
authority, such as Privacy Act routine use authority (e.g., we can provide the minimum
amount of information necessary to a former representative to dispose of a fee issue).
See also GN 03910.060B.3. For more information about consent requirements, see GN 03305.003.
Representatives may withdraw from multiple cases at the same time by attaching to
the withdrawal notice a document listing the claimants’ names and Social Security
numbers for each case from which they wish to withdraw. Representatives who withdraw
from some or all of their cases may waive the fees for some or all cases to which
they were appointed. For information on fee waiver, see GN 03920.020. For more information about documenting a withdrawal, see GN 03910.060 B. For information on a representative’s affirmative duty in connection with a withdrawal,
see GN 03970.010B.3.d.
NOTE: When processing the list of withdrawals, add the withdrawal to each case, redacting
all information not pertinent to the case.