Frequently Asked Questions: Applying

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:

script src=”https://player.vimeo.com/api/player.js”>

To download a copy of Form SSA-1696 click here.


If you can’t work because of a chronic disease or long term injury, you may qualify for SSDI or SSI benefits!

disability couple on laptop

Wondering if you might qualify for up to $3,345 in monthly SSDI benefits?
Get a free evaluation today!