Ticket Program Agreement (TPA) Change Form Reminders

At the end of March, the Social Security Administration (SSA) updated the TPA Change Form to capture important changes to ensure that SSA has all necessary personnel and administrative information from Employment Networks (EN). The form collects information such as corporate status categories, underserved populations specifically targeted and type of organization. In addition, SSA added pertinent information to the personnel section. SSA is finding that many ENs do not submit a TPA Change Form when an employee is either hired to work on their Ticket Program Agreement or when an employee leaves the EN.

The following are TPA Change Form reminders for ENs:

Staff Updates

• Complete Section Four: EN Staff Information when adding or removing staff from your EN’s TPA. SSA will not accept emails in lieu of the form.
• Do NOT submit an eQIP applicant listing for a new employee to the Office of Suitability prior to submitting a TPA Change Form to add the individual to your EN’s TPA.

Adding Ticket Portal Users

• Complete TPA Change Form Section Five: EN Portal Users, and Section Four: EN Staff Information for every new Ticket Portal user.
• The EN’s Signatory Authority or Program Contact may only designate Ticket Portal users based on the EN’s business need.

Submitting the TPA Change Form

• Only your EN’s Signatory Authority or Program Contact may sign and send the form. The only exception is when designating a new Signatory Authority. In this case, only the current Signatory Authority or Governing Body may sign and send the form.
• You can now electronically sign the form, but we recommend downloading the form to your computer first to avoid technical difficulties.
• Only complete the sections that you need to update when submitting the form.
• Only send one form for all EN changes. If there is not enough space, you may add additional pages.
• Send the form to ENService@ssa.gov. Include your PID and EN name in the subject line of each email and submit all changes in the TPA Change Form instead of the body of an email.

If you have any questions, email ENService@ssa.gov.