Social Security Forms

Form SSA-3288

Social Security Administration Consent for Release of Information

Complete this form only if you want the Social Security Administration to give information or records about you to an individual or group (for example, a doctor, or insurance company).

How to Obtain the Form

Below you will find Form in Portable Document Format (PDF). To print the PDF version, you will need the Adobe Acrobat reader software. If you do not already have this special software, see our page on downloading and printing PDF documents.

After you download the Adobe Acrobat Reader, come back to this page and download the PDF version of the SSA-1696:

Social Security Administration Consent for Release of Information (SSA-3288)

How to Complete the Form

Instructions for completing the form are included with the form.

Send the Form

Where To Send The Form

Print the PDF SSA-3288 on 8 1/2 x 11 inch paper, complete and sign the form, and mail it to your local Social Security office. If you are not sure where your local office is located, try our Social Security Office Locator service or
call 1-800-772-1213.


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