POMS Reference

GN 03930: Fee Authorization Under the Fee Petition Process

TN 5 (04-95)

A. When to use

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.