SSA-1696-SUP2 Appointment of Representative – Fillable PDF

The SSA-1696-SUP2 is the official Appointment of Representative form used by the Social Security Administration (SSA). It authorizes a designated individual to act on your behalf for Social Security matters such as claims, appeals, and benefit inquiries.

What Is the SSA-1696-SUP2 Form?

This form lets you name a representative—an attorney, accredited organization, or trusted family member—to communicate with the SSA for you. The SSA requires a signed, legible copy for every case where a third party is involved.

How to Fill Out the Form Online

Instead of downloading the PDF and opening it in a separate editor, simply click the "Fill out this form" button on this page. The Formize PDF Filler app will load directly in your browser, allowing you to complete each field instantly.

• All fields are interactive and auto‑save as you type.
• Electronic signatures are accepted where applicable.
• When finished, you can download the completed PDF for your records or submit it directly to the SSA.

Common Mistakes & Tips

• Illegible handwriting: Using the online filler eliminates this risk.
• Missing signatures: The Formize app prompts you to sign before allowing a download.
• Incorrect representative information: Double‑check the name, address, and contact details before saving.

Download & Save Your Completed Form

After you submit, click the Download PDF button to store a copy on your device. Keep this file for future reference or to attach to any correspondence with the SSA.

Need help? Review the FAQs below or contact the Social Security Administration directly.