Payees report on the use of benefits by completing a Representative Payee Report (Form SSA-623, SSA-6230, or SSA-6233). We mail the form to the payee once a year. Payees can also file the report online .

If you can't find the form you need, or you need help completing a form, please call us at 1-800-772-1213 (TTY 1-800-325-0778) or contact your local Social Security office and we will help you. If you download, print and complete a paper form, please mail or take it to your local Social Security office or the office that requested it from you.

Please read the enclosed instructions before completing this form to help you answer each question. 1. Were you (the payee) convicted of a crime considered to be a felony between and ?

If you are under 18 and a representative payee, you must complete the paper Representative Payee Report form you received in the mail and return it to the address shown on the form. You will need to have the report that you received in the mail to access your beneficiary's records.

Form SSA-623-F6 (08-2013) ef (08-2013) Destroy Prior Editions. Social Security Administration Representative Payee Report. 1. Why You Received This Form. We must regularly review how representative payees used the benefits they received on behalf of the Social Security and/or Supplemental Security Income (SSI) beneficiaries.

This self-mailer is similar to the SSA-623-OCR-SM except that it is used by organizational representative payees. A contractor sends this form to organizational payees as initial and second requests for accounting. (See GN 00605.020 for a description of the …

Form SSA-623 requires the representative payee to account for all benefit funds issued within a particularly time period. The SSA sends notices for this form to be completed on an intermittent schedule.

Any representative payee or employee representing an organization serving as a representative payee for a beneficiary. If you received a form SSA-623, SSA-6230, or SSA-6234, you may complete the form online.

Social Security Admin stration, P.O. Box 6232, Wilkes-Barre, PA 18767-6232 FORM APPROVED OMB NO. 0960-0068 PAYEES NAME AND ADDRESS If change of address, orrect and heck ox REPORT PERIOD FROM ... FORM SSA-623-OCR-SM (12 004) Title: SSA 623 Representative Payee Report (Adult)