Form SSA-1696
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What is Form SSA-1696?
Filling out Form SSA-1696 is a very important step in the application process, if you are getting help with your claim. The SSA-1696 is a document that allows a claimant (someone who wants to apply for benefits) to appoint a representative to assist them with their application process. To have someone represent you the way Citizens Disability does for our clients (handling your application materials, dealing with all the paperwork, staying on top of deadlines, and appearing with you at any hearings to decide your case) you’ll need to fill out a form SSA-1696 and submit it to the Social Security Administration. Our video explains all the details you need to know about Form SSA-1696:
To download a copy of Form SSA-1696 click here.
More Important Information about The Application Process
Other Applying For SSDI FAQs:
- Do I need an advocate from Citizens Disability to help with my application?
- Does this process take as long as I’ve heard about?
- What is the “Compassionate Allowance” for SSDI?
- Can I receive both Medicare and Social Security disability benefits?
- Do I receive compensation while I wait for my approval?
- If I am denied, should I reapply?
- Are there any costs to me during the appeals process?
- What is Form SSA-827?

Linda Cosme formerly served as a Member of the Appeals Council (AC) for the Social Security Administration (SSA), and Program Expert for the Social Security Administration and Disability Quality Branch (DQB). Ms. Cosme also served as a Quality Assurance (QA) Reviewer, Initial Disability Examiner, Reconsideration Disability Examiner, and Continuing Disability Examiner (CDR) for the Disability Determination Services (DDS). She is admitted to practice law in Arizona, Georgia, and the United States Ninth Circuit Court of Appeals.
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