We are returning the appointed representative forms you submitted for [claimant's
name]. We could not process the forms because the information submitted is incomplete.
Please provide the following information:
REP037 – optional: The claimant’s personal identifying information (e.g., Social Security
number (SSN), name, address, phone number)
REP038 - optional: The claimant’s signature
REP039 - optional: The non–attorney representative’s signature
REP040 - optional: The representative’s identifying information (e.g., name, RepID)
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 website at www.socialsecurity.gov on the Internet 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. You can also write or visit
any Social Security office. The office that serves your area is located at:
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.