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SSA-1699 Request for Appointed Representative's Direct Payment Information |
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To comply with the Internal Revenue Code (§§ 6041(a) and 6045(f)) and the Debt Collection Improvement Act of 1996, as codified at 31 U.S.C. §§ 3325 and 7701, we are requiring appointed representatives to provide taxpayer identification information as a prerequisite for receiving direct fee payment. As a service, we are providing representatives with the means to receive payments via direct deposit deposit in Title II claims at the present time. A process to allow representatives to receive direct deposit of fees in Title XVI claims, including the Title XVI portion of concurrent claims, is not available at this time. Beginning in January 2009, we will mail a Form 1099-MISC to each representative who received, by direct payment from the Social Security Administration, aggregate fees of $600 or more in the previous calendar year.
If you are a representative who is associated with a law firm, partnership,
corporation, or multi-member LLC/LLP (LLC – Limited Liability Company, LLP – Limited Liability Partnership)
that has attorneys and/or non-attorney representatives as partners or employees,
that entity also may provide us with its taxpayer identification information using the
Form SSA-1694, Request for Business Entity Taxpayer Information.
Who Should Complete This Form?You should complete this if you are:
Information You Will NeedBe prepared to provide us with the following information:
Minimum System RequirementsTo complete this report online, you will need:
If necessary, you can send or deliver a completed paper
Form SSA-1699, Request for Appointed Representative’s
Direct Payment Information,
to your local Social Security office.
Privacy Statement
The Social Security Administration is allowed to collect the facts on this application
under § 6045(f) of the Internal Revenue Code and §§ 206 and 1631(d)(2) of the Social Security Act,
as amended by the Social Security Protection Act of 2004 (Pub. L. No. 108-203).
We need this information to efficiently process this Internet request. Giving us these facts
is voluntary. However, without them, we may not be able to process your application online.
Social Security may provide information collected on this application to the Internal Revenue Service.
Paperwork Reduction Act Statement
This information collection meets the requirements of 44 U.S.C. § 3507, as amended by § 2 of the
Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a
valid Office of Management and Budget control number. We estimate that it will take about 20 minutes
to read the instructions, gather the facts, and answer the questions. You may send comments on
our time estimate above to: SSA, 6401 Security Blvd, Baltimore, MD 21235-6401.
Send only comments relating to our time estimate to this address, not the completed form.
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Last reviewed or modified Monday Jan 14, 2008 |