SEND OR BRING THE COMPLETED FORM TO YOUR LOCAL SOCIAL SECURITY OFFICE. You can find your local Social Security office through SSA's website at …

Sign in and search for Form 521: Request for Withdrawal of Application (PDF). Then, complete the form, upload any additional documents you might have, and submit it to us.

If you wish to withdraw your acceptance of the appointment, you must sign and date the withdrawal and file it with us either in-person at your local field office, mail it, or fax it to us.

You or your representative can send the completed form or written statement to your local Social Security hearing office. If you have any questions, you may call the hearing office handling …

You may use this form to end (revoke) an appointed representative’s authority at any time during the processing of your claim. You must sign and date your revocation and file it with us either …

Dec 9, 2024 · They cannot withdraw representation by other representatives either on the same case or other cases, even if they are affiliated with the same firm or entity. For convenience, …

Jul 26, 2023 · A claimant may have a number of reasons for requesting a Withdrawal (WD) of an application. A number holder’s (NH) request for a WD affects all beneficiaries on the record …

Aug 9, 2023 · If the claimant wants to withdraw the claim for DIB benefits and keep HI coverage, inform them that it is not possible and the WD of the DIB application will affect the Medicare …

Form HA-85 (12-2024) Discontinue Prior Editions Social Security Administration OMB No. 0960-0710

Dec 6, 2024 · A representative’s appointment ends when the representative notifies us of the withdrawal in a dated and signed writing. The representative may use Form SSA-1696-SUP2, …