Internet-Based Static or Dynamic Webform (through Upload Documents or CPAS)

eSignature/Upload Documents

Upload Documents IRP - Screen Package

Internet-Based Static or Dynamic Webform (through Upload Documents or CPAS)

OMB: 0960-0830

Document [pdf]
Download: pdf | pdf
Upload Documents (eSubmit)

Individual Representative Payee
CI Initiated Submissions

MVP SCREEN PACKAGE

November 17, 2025

Link to Upload Documents on SSA.gov webpage

1

ROME authentication page

2

SSA’s GToS Page

3

MySSA Services Page

4

MySSA – Representative Payee Services Page (Beneficiary Accounts)
Multiple Beneficiaries

“Select Beneficiary” Btn clicked

5

MySSA – Representative Payee Services Page (Beneficiary’s Details Page)

“Upload Documents” link clicked.

6

Upload documents (UD) - PRA

7

Identity Proofing Page

8

UD – Landing Page
When there are no open requests this page will be the landing page.

Other Document Selected

9

Disability claims related? - Yes

Document Category - Disability

Document uploading - Hospital Records

10

UD – Prepare and Upload step

Document Attached

11

Review and Submit Step (No Signature required)

UD – Confirmation Page
Document has been submitted.

12

UD – Past Activity Page

Submission Details (Dialog)
Supporting Documents

13

UD – Open Requests page
No open requests shown if this scenario if page selected from top navigation.

14

UD – MySSA navigation dropdown
“Other Services”  MySSA Services Page
“Change Beneficiary”  UD Beneficiary page (see second screenshot below)
This option will be available if RapPayee represents more than one Beneficiary.

Beneficiary page

15


File Typeapplication/pdf
File Modified2025-12-04
File Created2025-12-04

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