Common Contracts

Ticket Program Agreement (TPA) Termination Form

Social Security • March 2nd, 2023

• Contract Type
  Social Security
• Filed
  March 2nd, 2023

Use this form to request termination of your Ticket Program Agreement (TPA) from the Social Security Administration’s (SSA) Ticket to Work Program. Terminating your TPA will also unassign all Tickets assigned to your EN. Only the Signatory Authority can submit this form. Please submit this form directly to the Employment Network Service Team (ENST) at ENService@ssa.gov. All fields below must be filled out.