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Form SSA-1696: Appointment of Representative
Appoints an attorney or non-attorney as your representative to act on your behalf in Social Security matters, including appeals and hearings.
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SSA Form SSA-1696 - Appointment of Representative
Appoints an attorney or non-attorney as your representative to act on your behalf in Social Security matters, including appeals and hearings.
Risk Radar
Scan points- 1Representative not signing or completing their section — the appointment is invalid.
- 2Failing to specify fee arrangement — if fees will be charged, complete the fee agreement or petition.
- 3Using an outdated form — SSA only accepts current versions.
Plain English
Use this form when you want a lawyer or advocate to represent you in dealings with SSA — such as during a disability appeal or hearing.
Submission Date
- Filing date: Before a hearing, appeal, or any SSA proceeding where you want legal representation.
- Preparation window: collect IDs, supporting records, and signatures in advance.
- Final review: verify names, dates, and required fields before submission.
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Field map
Compact field-by-field guide
Claimant
4 items
Your full legal name.
Your SSN.
Your signature authorizing the representative.
Date you signed the form.
Representative
5 items
Full name of your attorney or advocate.
Representative's business address.
Representative's phone number.
Indicate whether the representative is an attorney or not.
Representative's signature accepting the appointment.
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Questions about SSA Form SSA-1696
What is SSA Form SSA-1696 used for?
Use this form when you want a lawyer or advocate to represent you in dealings with SSA — such as during a disability appeal or hearing.
Who must file SSA Form SSA-1696?
Claimants who want to authorize another person (attorney, non-attorney advocate, or organization) to represent them before SSA.
What information does SSA Form SSA-1696 require?
An official appointment of representation that grants your representative legal authority to act on your behalf in SSA matters.
When is SSA Form SSA-1696 due?
Before a hearing, appeal, or any SSA proceeding where you want legal representation.
Where do I file SSA Form SSA-1696?
Submit to your local SSA office, ALJ hearing office, or Appeals Council.
How do I complete SSA Form SSA-1696?
Both you and your representative must sign. The representative section requires their credentials and contact information.
What happens if SSA Form SSA-1696 is filed incorrectly?
SSA requires formal appointment before a representative can access your records or receive SSA communications on your behalf.
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