This version of the form is not currently in use and is provided for reference only. Download this version of Form SSA-4815 for the current year.
This is a legal form that was released by the U.S. Social Security Administration on January 1, 2020 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form SSA-4815?
A: Form SSA-4815 is a petition for authorization to charge and collect a fee for services before the Social Security Administration.
Q: When do I need to use Form SSA-4815?
A: You need to use Form SSA-4815 when you want to request authorization to charge and collect a fee for services provided to someone seeking Social Security benefits.
Q: What is the purpose of Form SSA-4815?
A: The purpose of Form SSA-4815 is to request permission to charge and collect a fee for representing someone in their Social Security benefit claim.
Q: Is there a fee for filing Form SSA-4815?
A: No, there is no fee for filing Form SSA-4815.
Q: Who can file Form SSA-4815?
A: Attorneys, representatives, or organizations can file Form SSA-4815 to request authorization to charge and collect a fee for services provided to Social Security benefit claimants.
Q: What information do I need to provide on Form SSA-4815?
A: You need to provide your personal information, information about the claimant you are representing, and details about the services you provided or will provide.
Q: What happens after I file Form SSA-4815?
A: After you file Form SSA-4815, the Social Security Administration will review your request and notify you of their decision.
Q: Can I appeal if my request on Form SSA-4815 is denied?
A: Yes, if your request on Form SSA-4815 is denied, you have the right to appeal the decision.
Q: Are there any restrictions on the fees I can charge?
A: Yes, there are restrictions on the fees you can charge. The Social Security Administration sets limits on the maximum fees that can be charged for representing claimants.
Form Details:
Download a fillable version of Form SSA-4815 by clicking the link below or browse more documents and templates provided by the U.S. Social Security Administration.