Government & Benefits

SSA-1696, appointment of representative

Appoint a representative for a Social Security claim, matter, or appeal, then submit the signed form to the SSA office handling it.

Prepare my form

Letters from $3.20 with printing and First-Class postage included. See all prices

Check the official form requirements

Download the current SSA-1696, then complete and sign it outside IRIS. Use IRIS for the finished PDF only when the agency's required filing method and the acceptable-use policy permit a printed PDF.

IRIS is an independent printing and mailing service. It is not USPS or Social Security Administration. Review the document, destination, mailing options, and total before checkout.

Read the current Social Security Administration instructions

Read the completed-form mailing checklist

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