I-1-2-54.Fee Petition Request Document

A. Form SSA-1560-U4 or Other Written Document

A representative may petition for fee approval using:

• Form SSA-1560-U4 (Petition to Obtain Approval of a Fee for Representing a Claimant before the Social Security Administration) (see POMS GN 03930.155(B.) or http://www.socialsecurity.gov/online/ssa-1560.html), or

• a written statement that provides the information requested on Form SSA-1560-U4 and the information in B. and C., below, if applicable.

B. Non-attorney Representative — Additional Requirement

As explained in I-1-1-2, we may ask a representative who is not an attorney to furnish a description of the special qualifications that enabled him/her to provide the claimant with valuable help.

C. Legal Guardian — Additional Requirement

A representative who is a legal guardian, committee, conservator, or other State court-appointed representative also must furnish copies of:

• his/her fee request of the court;

• his/her accounting to the court; and

• either the court's declination to order a fee or the court's order(s) of fees for his/her services as legal guardian during the same period in which the representative provided services in proceedings before the Social Security Administration.