Effective January 1, 2007, a representative must be registered on the agency’s Appointed
Representative Database (ARDB) to receive direct payment of authorized fees.
Representatives may register on the ARDB beginning in August 2006. They must complete
Form SSA-1699 and submit it via fax, following procedure in GN 03913.000. This is a one-time registration. However, the representative must update the registration
if his or her personal, professional or business affiliation information changes.
See note below for additional registration update information. SSA’s automated claims
systems use the address information maintained on the ARDB to issue notices and fee
The representative is also required to submit Form SSA-1695 (Identifying Information
for Possible Direct Payment of Authorized Fees) for each claimant that he represents
before SSA. Representatives may submit Form SSA-1695 beginning in November 2006. The
representative must submit this form to receive direct payment effective January 1,
2007. The form will be available as of November 2006. It is only available in paper
If appointed on or after January 1, 2007, a representative must register via Form
SSA-1699 and submit Form SSA-1695 prior to the date that SSA effectuates the favorable
decision in order to receive direct payment. When multiple representatives are appointed
concurrently in one claim, SSA must secure a separate SSA-1695 from each co-representative
who is eligible to receive, and who is or will be requesting direct payment, even when
all co-representatives are members of the same firm.
NOTE: If the representative wants to delete his or her affiliation with an entity, he or
she must submit an updated SSA-1699. In addition, for each pending claim related to
that affiliation, the representative must submit a new SSA-1695 to avoid incorrect
fee payments. For more information on updating appointed representative registration,
see GN 03913.015A.
See GN 03910.042B.5 for procedures when the SSA-1695 is not received prior to effectuating a claim.
See GN 03910.090 for Exhibit 7 Form SSA-1699 and Exhibit 6 Form SSA-1695.