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Get and Sign Form 1696 2011

Get and Sign Form 1696 2011

Use a Form 1696 2011 template to make your document workflow more streamlined.

Claimants.” Privacy Act Statement Collection and Use of Personal Information Sections 206(a) and 1631(d) of the Social Security Act, as amended, authorize us to collect this information. We will use the information you provide on this form to verify your appointment of an individual as your representative and his or her acceptance of the appointment. Completion of this form is voluntary; however, if you want to use this form to appoint someone to act on your behalf in matters before the Social...
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