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Search results with tag "For appointed representative services"

Request for Appointed Representative Services and Direct ...

Request for Appointed Representative Services and Direct ...

ssa.gov

Form SSA-1699 (09-2013) . Registration for Appointed Representative Services and Direct Payment. Purpose of Form. Complete this form if you: • Complete this form and fax it to the Office of Central Operations at 1-877-268-3827

  Services, Representative, Appointed, For appointed representative services

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