POMS Reference

This change was made on Dec 11, 2017. See latest version.
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GN 03930.155: Form SSA-1560- (Petition to Obtain Approval of a Fee for Representing a Claimant Before the Social Security Administration)

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  • Effective Dates: 07/16/2012 - Present
  • Effective Dates: 12/11/2017 - Present
  • TN 5 (04-95)
  • GN 03930.155 Form SSA-1560-U4 (Petition to Obtain Approval of a Fee for Representing a Claimant Before the Social Security Administration)
  • GN 03930.155 Form SSA-1560- (Petition to Obtain Approval of a Fee for Representing a Claimant Before the Social Security Administration)
  • A. When to use
  • A representative may use this form to request SSA's approval of a fee for services provided in representing the claimant(s) in proceedings before SSA. (A representative also may petition for fee approval by providing, in another written form, the same information the SSA-1560-U4 solicits.) The representative also sends a copy to the claimant(s).
  • A representative may use this form to request our approval of a fee for services provided in representing the claimant(s) in proceedings before us. (A representative also may petition for fee approval by providing, in another written form, the same information the SSA-1560 solicits.) The representative also sends a copy to the claimant(s).
  • B. Exhibit - English
  • To view this form, go toSSA-1560-U4.
  • To view this form, go toSSA-1560.