Thank you for updating your user information.
We are writing to inform you that we have made the following changes to your record:
Section I: Your Personal Identification and Home Contact
Information
Choices:
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We changed your Contact Name. NOTE: We use your name exactly as it appears
on your Social Security card. If you want to use a different name, contact your local
Social Security office to change the name currently in our records.
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You must either receive a new card or receive confirmation that we processed
your name change prior to completing another SSA-1699 form to update your Contact
Name.
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You requested that we change your Home Mailing Address.
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You requested that we change your Telephone Number, Fax Number, or Email
Address.
Section III: Your Bar and Court Information
You requested that we change your Court or Bar Name, Status, Year Admitted or License
Number.
Section IV: Your Information as a Representative
Choices:
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You requested that we change your Address for Receipt of Notices. If you are currently
eligible for Direct Payment of fees and receive your payment in the form of a paper
check, your paper check will be mailed to this address.
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You requested that we change your Business Telephone Number, Business Fax Number,
or Business Email Address.
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You are eligible for Direct Payment of fees. If you have not provided your preferred
payment method, you will receive payment in the form of a paper check.
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Your paper check will be mailed to your Address for Receipt of Notices.
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You requested that we change your preferred payment method to check. Your paper
check will be mailed to your Address for Receipt of Notices.
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You requested we change your financial account information.
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You requested that we change your preferred payment method to Direct Deposit.
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You requested that we change your Tax Address. This is the address where we
will send your Form "1099-MISC."
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You are no longer eligible for Direct Payment.
Section V: Your Information When You Are Working for a Firm or
Organization
Choices:
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You requested that we add, change, or end a Firm(s) or Organization(s) that you will
be affiliated with as a representative.
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You requested that we change your Address for Receipt of Notices when you are working
for a Firm or Organization.
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You requested that we change your Business Telephone Number, Business Fax Number,
or Business Email Address when you are working for a Firm or Organization.
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You requested that we change your preferred payment method to check when you are working
for a Firm or Organization. Your paper check will be mailed to your Address for Receipt
of Notices.
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You requested we change your financial account information when you are working
for a Firm or Organization.
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You requested that we change your preferred payment method to Direct Deposit when
you are working for a Firm or Organization.
Section VI: Attestation and Questions for Representation
You requested that we add information to your record related to your representational
status.
Suspect Social Security Fraud?
If you 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
Please visit our Representing Claimants website at www.socialsecurity.gov/representation
for general information.
If you have questions, please call us at 1-800-772-6270. If you are deaf or hard of
hearing, you may call the TTY number, 1-800-325-0778 between 7:00 a.m. and 7:00 p.m.
Eastern time, Monday through Friday. We can answer most of your questions over the
phone. When you call, please have this letter with you to help us answer your questions.
If you have questions about reporting income or Form 1099-MISC, please contact the
Internal Revenue Service.