Internet SSA-1699

Registration of Individuals and Staff for Appointed Representative Services

Revised SSA-1699 screen shots

Internet SSA-1699

OMB: 0960-0732

Document [doc]
Download: doc | pdf

Internet Appointed Representative Individual Registration

Table of Contents



    1. Register –Individuals and Staff






    1. Register - Rep Standing




    1. Register - Rep Standing - Attorney



    1. Register - Rep Standing - Attorney



    1. Register - Rep Standing - Non



    1. Register - Rep Standing - Other



    1. Register - Rep Standing - Other



    1. Register - Your Individual Rep Info


    1. Register - Individual Rep Payment Info



    1. Past Affiliations



    1. Register - Affiliation



    1. Register - Affiliation showing entity



    1. Register - Affiliation showing individual



    1. Register - Additional Affiliation



    1. Register - Attestations

User chooses ‘Yes’ for all the attestation questions on ‘Attestations’ page.





Attestations - Supporting Information page will be displayed with all the 4 panels as the user selected YES for all 4 questions on the previous page.


User should enter mandatory information on all the 4 panels (in this case) and should click ‘Next’ so that the information on this page can be saved and proceed to the next page.















Case 2: User chooses ‘Yes’ only for the first question (Suspended or Prohibited) on ‘Attestations’ page.



Attestations - Supporting Information page will be displayed with the corresponding (Suspended or Prohibited) panel as user selected a ‘YES’ for only question related to this on the previous page.


User should enter mandatory information on this panel and should click ‘Next’ so that the information on this page can be saved and proceed to the next page.







Other Information:


Updating the information on Supporting Information page:


User can come back through ‘back’ button from the next page or can click the relevant button on the Summary page to come to this screen.

User will be shown the information that he/she has entered before in the corresponding panels. User can simply edit the information (if required) and click on ‘Next’ button. The data will be updated in the session.




























    1. Register - Summary



    1. Register - Sign & Submit



1.17.2 Register - Confirmation



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File Typeapplication/msword
File TitleInternet Appointed Representative Individual Registration
Author656340
Last Modified By666429
File Modified2009-07-10
File Created2009-07-10

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