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For many individuals navigating the landscape of Social Security benefits and services, the SSA SS-5 form stands as a gateway document. This crucial form serves various purposes, including applying for a new Social Security Number (SSN), requesting a replacement Social Security card, or making changes to your existing Social Security records, such as a name change after marriage or divorce. Its significance cannot be overstated, as having a Social Security Number is essentially a rite of passage in the United States, enabling citizens and eligible residents to work, receive Social Security benefits, and access other government services. Filling out the SSA SS-5 form accurately is vital for ensuring that these processes are completed without unnecessary delay, making understanding its components and requirements an essential task for anyone stepping into the realm of Social Security services.

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Form SS-5 (10-2021) UF

Page 1 of 5

Use (11-2019) UF Until Stock Is Exhausted

OMB No. 0960-0066

SOCIAL SECURITY ADMINISTRATION

Application for a Social Security Card

Applying for a Social Security Card is free!

USE THIS APPLICATION TO:

Apply for an original Social Security card

Apply for a replacement Social Security card

Change or correct information on your Social Security number record

IMPORTANT: You MUST provide a properly completed application and the required evidence before we can process your application. We can only accept original documents or documents certified by the custodian of the original record. Notarized copies or photocopies which have not been certified by the custodian of the record are not acceptable. We will return any documents submitted with your application. For assistance call us at 1-800-772-1213 or visit our website at www.socialsecurity.gov.

Original Social Security Card

To apply for an original card, you must provide at least two documents to prove age, identity, and U.S. citizenship or current lawful, work-authorized immigration status. If you are not a U.S. citizen and do not have DHS work authorization, you must prove that you have a valid non-work reason for requesting a card. See page 2 for an explanation of acceptable documents.

NOTE: If you are age 12 or older and have never received a Social Security number, you must apply in person.

Replacement Social Security Card

To apply for a replacement card, you must provide one document to prove your identity. If you were born outside the U.S., you must also provide documents to prove your U.S. citizenship or current, lawful, work-authorized status. See page 2 for an explanation of acceptable documents.

Changing Information on Your Social Security Record

To change the information on your Social Security number record (i.e., a name or citizenship change, or corrected date of birth) you must provide documents to prove your identity, support the requested change, and establish the reason for the change. For example, you may provide a birth certificate to show your correct date of birth. A document supporting a name change must be recent and identify you by both your old and new names. If the name change event occurred over two years ago or if the name change document does not have enough information to prove your identity, you must also provide documents to prove your identity in your prior name and/or in some cases your new legal name. If you were born outside the U.S. you must provide a document to prove your U.S. citizenship or current lawful, work-authorized status. See page 2 for an explanation of acceptable documents.

LIMITS ON REPLACEMENT SOCIAL SECURITY CARDS

Public Law 108-458 limits the number of replacement Social Security cards you may receive to 3 per calendar year and 10 in a lifetime. Cards issued to reflect changes to your legal name or changes to a work authorization legend do not count toward these limits. We may also grant exceptions to these limits if you provide evidence from an official source to establish that a Social Security card is required.

IF YOU HAVE ANY QUESTIONS

If you have any questions about this form or about the evidence documents you must provide, please visit our website at www.socialsecurity.gov for additional information as well as locations of our offices and Social Security Card Centers. You may also call Social Security at 1-800-772-1213. You can also find your nearest office or Card Center in your local phone book.

Form SS-5 (10-2021) UF

Page 2 of 5

EVIDENCE DOCUMENTS

The following lists are examples of the types of documents you must provide with your application and are not all inclusive. Call us at 1-800-772-1213 if you cannot provide these documents.

IMPORTANT : If you are completing this application on behalf of someone else, you must provide evidence that shows your authority to sign the application as well as documents to prove your identity and the identity of the person for whom you are filing the application. We can only accept original documents or documents certified by the custodian of the original record. Notarized copies or photocopies which have not been certified by the custodian of the record are not acceptable.

Evidence of Age

In general, you must provide your birth certificate. In some situations, we may accept another document that shows your age. Some of the other documents we may accept are:

U.S. hospital record of your birth (created at the time of birth)

Religious record established before age five showing your age or date of birth

Passport

Final Adoption Decree (the adoption decree must show that the birth information was taken from the original birth certificate)

Evidence of Identity

You must provide current, unexpired evidence of identity in your legal name. Your legal name will be shown on the Social Security card. Generally, we prefer to see documents issued in the U.S. Documents you submit to establish identity must show your legal name AND provide biographical information (your date of birth, age, or parents' names) and/or physical information (photograph, or physical description - height, eye and hair color, etc.). If you send a photo identity document but do not appear in person, the document must show your biographical information (e.g., your date of birth, age, or parents' names). Generally, documents without an expiration date should have been issued within the past two years for adults and within the past four years for children.

As proof of your identity, you must provide a:

U.S. driver's license; or

U.S. State-issued non-driver identity card; or

U.S. passport

If you do not have one of the documents above or cannot get a replacement within 10 work days, we may accept other documents that show your legal name and biographical information, such as a U.S. military identity card, Certificate of Naturalization, employee identity card, certified copy of medical record (clinic, doctor or hospital), health insurance card, Medicaid card, or school identity card/record. For young children, we may accept medical records (clinic, doctor, or hospital) maintained by the medical provider. We may also accept a final adoption decree, or a school identity card, or other school record maintained by the school.

If you are not a U.S. citizen, we must see your current U.S. immigration document(s) and your foreign passport with biographical information or photograph.

WE CANNOT ACCEPT A BIRTH CERTIFICATE, HOSPITAL SOUVENIR BIRTH CERTIFICATE, SOCIAL SECURITY CARD STUB OR A SOCIAL SECURITY RECORD as evidence of identity.

Evidence of U.S. Citizenship

In general, you must provide your U.S. birth certificate or U.S. Passport. Other documents you may provide are a Consular Report of Birth, Certificate of Citizenship, or Certificate of Naturalization.

Evidence of Immigration Status

You must provide a current unexpired document issued to you by the Department of Homeland Security (DHS) showing your immigration status, such as Form I-551, I-94, or I-766. If you are an international student or exchange visitor, you may need to provide additional documents, such as Form I-20, DS-2019, or a letter authorizing employment from your school and employer (F-1) or sponsor (J-1). We CANNOT accept a receipt showing you applied for the document. If you are not authorized to work in the U.S., we can issue you a Social Security card only if you need the number for a valid non-work reason. Your card will be marked to show you cannot work and if you do work, we will notify DHS. See page 3, item 5 for more information.

Form SS-5 (10-2021) UF

Page 3 of 5

HOW TO COMPLETE THIS APPLICATION

Complete and sign this application LEGIBLY using ONLY black or blue ink on the attached or downloaded form using only 8 ½” x 11” (or A4 8.25” x 11.7”) paper.

GENERAL: Items on the form are self-explanatory or are discussed below. The numbers match the numbered items on the form. If you are completing this form for someone else, please complete the items as they apply to that person.

4.Show the month, day, and full (4 digit) year of birth; for example, “1998” for year of birth.

5.If you check “Legal Alien Not Allowed to Work” or “Other,” you must provide a document from a U.S. Federal, State, or local government agency that explains why you need a Social Security number and that you meet all the requirements for the government benefit. NOTE: Most agencies do not require that you have a Social Security number. Contact us to see if your reason qualifies for a

Social Security number.

6., 7. Providing race and ethnicity information is voluntary and does not affect decisions on your application. We request this information for research and statistical purposes, to ensure all our customers receive fair and equal treatment.

9.B., 10.B. If you are applying for an original Social Security card for a child under age 18, you MUST show the parents' Social Security numbers unless the parent was never assigned a Social Security number. If the number is not known and you cannot obtain it, check the “unknown” box.

13.If the date of birth you show in item 4 is different from the date of birth currently shown on your Social Security record, show the date of birth currently shown on your record in item 13 and provide evidence to support the date of birth shown in item 4.

16.Show an address where you can receive your card 7 to 14 days from now.

17.WHO CAN SIGN THE APPLICATION? If you are age 18 or older and are physically and mentally capable of reading and completing the application, you must sign in item 17. If you are under age 18, you may either sign yourself, or a parent or legal guardian may sign for you. If you are over age 18 and cannot sign on your own behalf, a legal guardian, parent, or close relative may generally sign for you. If you cannot sign your name, you should sign with an "X” mark and have two people sign as witnesses in the space beside the mark. Please do not alter your signature by including additional information on the signature line as this may invalidate your application. Call us if you have questions about who may sign your application.

HOW TO SUBMIT THIS APPLICATION

In most cases, you can take or mail this signed application with your documents to any Social Security office. Any documents you mail to us will be returned to you. Go to https://secure.ssa.gov/apps6z/FOLO/fo001.jsp to find the Social Security office or Social Security Card Center that serves your area.

Form SS-5 (10-2021) UF

Page 4 of 5

PROTECT YOUR SOCIAL SECURITY NUMBER AND CARD

Protect your SSN card and number from loss and identity theft. DO NOT carry your SSN card with you. Keep it in a secure location and only take it with you when you must show the card; e.g., to obtain a new job, open a new bank account, or to obtain benefits from certain U.S. agencies. Use caution in giving out your Social Security number to others, particularly during phone, mail, email and Internet requests you did not initiate.

PRIVACY ACT STATEMENT

Collection and Use of Personal Information

Sections 205 and 702 of the Social Security Act, as amended, allow us to collect this information. Furnishing us this information is voluntary. However, failing to provide all or part of the information may prevent us from assigning you a Social Security number and issuing you a new or replacement Social Security card.

We will use the information you provide to issue you a replacement Social Security card. We may also share your information for the following purposes, called routine uses:

To Federal, State, and local entities to assist them with administering income maintenance and health maintenance programs, when a Federal statute authorizes them to use the Social Security number; and

To student volunteers, persons working under a personal services contract, and others when they need access to information in our records in order to perform their assigned agency duties.

In addition, we may share this information in accordance with the Privacy Act and other Federal laws. For example, where authorized, we may use and disclose this information in computer matching programs, in which our records are compared with other records to establish or verify a person’s eligibility for Federal benefit programs and for repayment of incorrect or delinquent debts under these programs.

A list of additional routine uses is available in our Privacy Act System of Records Notices (SORN) 60-0058, entitled Master Files of Social Security Number (SSN) Holders and SSN Applications, as published in the Federal Register (FR) on December 29, 2010, at 75 FR 82121. Additional information, and a full listing of all of our SORNs, is available on our website at www.ssa.gov/privacy.

Paperwork Reduction Act Statement - This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget control number. We estimate that it will take between 5 and 60 minutes to read the instructions, gather the facts, and answer the questions. SEND OR BRING THE COMPLETED

FORM TO YOUR LOCAL SOCIAL SECURITY OFFICE. You can find your local Social Security office through SSA’s website at www.socialsecurity.gov. Offices are also listed under U. S. Government agencies in your telephone directory or you may call Social Security at 1-800-772-1213 (TTY 1-800-325-0778). You may send comments regarding this burden estimate or any other aspect of this collection, including suggestions for reducing this burden to: SSA, 6401 Security Blvd, Baltimore, MD 21235-6401. Send only comments relating to our time estimate to this address, not the completed form.

Form SS-5 (10-2021) UF

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Page 5 of 5

Use (11-2019) UF Until Stock Is Exhausted

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OMB No. 0960-0066

SOCIAL SECURITY ADMINISTRATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Application for a Social Security Card

 

 

 

 

 

 

 

 

 

 

 

 

NAME

 

 

 

 

 

First

 

 

 

 

 

 

 

Full Middle Name

 

 

 

 

 

 

 

 

Last

 

 

 

 

 

 

 

 

 

 

1

TO BE SHOWN ON CARD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FULL NAME AT BIRTH

 

First

 

 

 

 

 

 

 

Full Middle Name

 

 

 

 

 

 

 

 

Last

 

 

 

 

 

 

 

 

 

 

 

IF OTHER THAN ABOVE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OTHER NAMES USED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

Social Security number previously assigned to the person

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

listed in item 1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3

PLACE OF

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Office

 

4

 

DATE

 

 

 

 

 

 

 

 

 

 

 

BIRTH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Use Only

 

 

OF

 

 

 

 

 

 

 

 

 

 

 

(Do Not Abbreviate)

City

 

 

 

 

 

 

State or Foreign Country

 

 

 

 

FCI

 

 

BIRTH

 

 

 

 

 

 

MM/DD/YYYY

5

CITIZENSHIP

 

 

 

 

U.S. Citizen

 

Legal Alien

 

 

 

Legal Alien Not Allowed To

 

 

 

 

Other (See

 

 

 

 

 

Allowed To

 

 

 

Work(See Instructions On

 

 

 

 

Instructions On

 

(Check One)

 

 

 

 

 

 

 

 

 

 

 

 

Work

 

 

 

 

 

 

Page 3)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Page 3)

 

ETHNICITY

 

 

 

 

 

 

 

RACE

 

 

 

 

 

 

 

Native Hawaiian

 

 

American Indian

 

 

Other Pacific

6

Are You Hispanic or Latino?

 

7

 

Select One or More

 

 

 

Alaska Native

 

 

Black/African

 

 

 

 

 

 

Islander

(Your Response is Voluntary)

 

 

(Your Response

 

 

 

 

 

 

 

 

 

 

 

White

 

Yes

No

 

 

 

 

is Voluntary)

 

 

 

Asian

 

 

 

 

 

 

 

 

 

 

American

 

 

 

 

 

 

 

 

 

 

 

8

SEX

 

 

 

 

 

 

 

 

 

 

 

Male

 

 

 

 

Female

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A. PARENT/ MOTHER'S

 

 

 

First

 

 

 

 

 

 

 

 

 

Full Middle Name

 

 

 

 

 

 

Last

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9

NAME AT HER BIRTH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B. PARENT/ MOTHER'S SOCIAL SECURITY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unknown

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NUMBER (See instructions for 9B on Page 3)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A. PARENT/ FATHER'S

 

 

 

First

 

 

 

 

 

 

 

 

 

 

Full Middle Name

 

 

 

 

 

 

Last

 

 

 

 

 

 

 

 

 

 

10

NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B. PARENT/ FATHER'S SOCIAL SECURITY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unknown

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NUMBER (See instructions for 10B on Page 3)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11

Has the person listed in item 1 or anyone acting on his/her behalf ever filed for or received a Social Security number card

before?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Don't Know (If "don't know," skip to question 14.)

 

Yes (If "yes" answer questions 12-13)

 

No

 

 

 

 

 

12

Name shown on the most recent Social

 

First

 

 

 

 

 

 

 

 

 

 

 

Full Middle Name

Last

 

 

 

 

 

 

Security card issued for the person

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

listed in item 1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13

Enter any different date of birth if used on an

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

earlier application for a card

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MM/DD/YYYY

 

 

 

 

 

 

 

 

 

 

 

14

DATETODAY'S

 

 

 

 

 

 

 

 

15

NUMBERDAYTIME PHONE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MM/DD/YYYY

 

 

 

 

 

 

Area Code

 

Number

 

 

 

 

 

 

 

 

 

 

16

MAILING ADDRESS

Street

Address,

Apt. No., PO Box, Rural

 

Route No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

 

State/Foreign Country

 

 

 

 

 

 

 

 

ZIP Code

 

(Do Not Abbreviate)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I declare under penalty of perjury that I have examined all the information on this form, and on any accompanying

17

statements or forms, and it is true and correct to the best of my knowledge.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YOUR SIGNATURE

 

 

 

 

 

 

18

YOUR RELATIONSHIP TO THE PERSON IN ITEM 1 IS:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Self

Natural Or

 

 

 

Legal

 

 

 

 

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Adoptive Parent

 

 

 

Guardian

 

 

 

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REVIEWING EVIDENCE AND/OR CONDUCTING

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Document Attributes

Fact Number Detail
1 The SSA SS-5 form is used to apply for a Social Security card.
2 It is required for obtaining a new, replacement, or corrected Social Security card.
3 Applicants must provide evidence of age, identity, and U.S. citizenship or lawful immigration status.
4 The form can be submitted by mail or in person at a Social Security office.
5 There is no filing fee to apply for a Social Security card.
6 The Social Security Administration oversees the process and provides the form on their official website.

How to Fill Out SSA SS-5

When it comes time to apply for or make changes to a Social Security card, individuals must navigate the SSA SS-5 form. This document is a vital component of ensuring your Social Security records are up to date, which is crucial for employment, tax purposes, and receiving Social Security benefits. The process of filling out the form can seem daunting at first, but by following a step-by-step approach, individuals can complete the form accurately and with confidence. Here are the necessary steps to take when filling out the SSA SS-5 form.

  1. Prepare Required Documentation: Gather all necessary documents beforehand, including proof of citizenship, age, and identity. Examples include a birth certificate, passport, or driver's license.
  2. Fill Out the Form: Accurately complete each section of the form. Start with personal information such as your full name, Social Security number (if you have one), place, and date of birth. Ensure all details are correct and match your documentation.
  3. Review Your Information: Carefully review each entry to prevent mistakes. Errors can delay the processing of your application or lead to the need for corrections in the future.
  4. Sign and Date the Form: Your signature is required to validate the form. If you're filling it out on behalf of someone else, you may need to provide additional documentation proving your authority to do so.
  5. Submit the Completed Form: Decide if you will mail the form or submit it in person at a local Social Security office. Remember to include all required documentation with your form to avoid delays.

Once the SSA SS-5 form is submitted, the Social Security Administration will process your application. Processing times can vary, so patience is important. If the administration requires further information or documentation, they will reach out to you. Successfully completing and submitting the SSA SS-5 form is a crucial step towards securing the benefits and services offered by the Social Security Administration. By following the steps outlined above, individuals can navigate this process more smoothly and with greater confidence.

More About SSA SS-5

  1. What is the SSA SS-5 Form?

    The SSA SS-5 form is an application used by the Social Security Administration in the United States. It is designed for individuals who need to apply for a new or replacement Social Security card. This form can be used whether you're applying for your first card, need a replacement for a lost or stolen card, or require a change in the information tied to your current Social Security number, such as a name change due to marriage or divorce.

  2. How can I obtain and submit an SSA SS-5 Form?

    The SSA SS-5 form can be obtained through several methods. You can download it directly from the Social Security Administration’s official website, or you can pick up a paper copy from a local SSA office. Once completed, the form can be submitted either in person at an SSA office or through the mail. It’s important to note that submitting the form online is not an option, and you'll need to provide original documents or copies certified by the issuing agency to prove your identity, citizenship, or lawful immigration status.

  3. What documents do I need to provide with my SSA SS-5 application?

    When applying for a Social Security card via the SSA SS-5 form, you must provide specific documents that prove your identity, U.S. citizenship or current legal immigration status, and age. Typically, a U.S. birth certificate and a U.S. passport are sufficient, but if these are not available, other documents such as a state-issued driver's license, ID card, or immigration documents may also be acceptable. For the most accurate and up-to-date list of acceptable documents, it is recommended to visit the Social Security Administration's official website or contact a local SSA office directly.

  4. Is there a fee to apply for a Social Security card using the SSA SS-5 Form?

    No, there is no fee to apply for a Social Security card, whether you are applying for the first time, replacing a card, or updating information on your card. This service provided by the Social Security Administration is completely free. However, it's crucial to be wary of third-party services that may offer to complete or submit the SSA SS-5 form on your behalf for a fee. These services are not affiliated with the Social Security Administration.

Common mistakes

Filling out the SSA SS-5 form, which is necessary for obtaining a Social Security card, can sometimes be confusing. People often make mistakes during this process. Understanding the most common pitfalls can help streamline the application process and reduce the risk of delays.

  1. Not providing complete information. All required fields on the form must be filled out accurately. Omitting information such as full legal name, birthdate, or Social Security number, if previously assigned, can result in the rejection of the application.

  2. Using incorrect documents for proof of identity or age. The SSA requires specific documents to prove identity, age, and citizenship or legal presence. Common mistakes include submitting photocopies instead of original documents or providing documents that do not meet the SSA’s criteria.

  3. Writing illegibly. If the SSA cannot read the handwriting on the form, processing the application becomes difficult. This can lead to incorrect information on the Social Security card or a delay in receiving the card.

  4. Failure to update personal information. It is important to provide current information. For example, if an individual has recently changed their name due to marriage or a court order but fails to provide documentation for the name change, the SSA may issue a card with outdated information.

  5. Not following the submission guidelines. The SSA provides specific instructions for submitting the SS-5 form, including where to send the form and what documentation needs to be included. Ignoring these guidelines can result in the application not being processed.

To avoid these mistakes, it's advisable to review the application guidelines provided by the Social Security Administration carefully, ensure all documentation is complete and accurate, and double-check that all writing on the form is clear and legible.

Documents used along the form

When individuals apply for a Social Security card or need to make changes to their current information, the SSA SS-5 form is typically the starting point. However, it's not the only form or document that may be required in this process. A range of other forms and documents often accompany the SSA SS-5 form to provide additional information, verify identity, or update personal details. Understanding these accompanying documents can help streamline the application or update process.

  • Birth Certificate: This vital record is commonly required to prove age and citizenship. It's often needed when applying for a new Social Security card, especially for newborns or for those who are applying for replacement cards.
  • Passport: A current passport serves as a strong form of identification and can also prove citizenship. It’s particularly useful for individuals dealing with international documentation issues or for proving identity when other documents are not available.
  • Driver’s License or State ID: These forms of identification are required to prove identity. A government-issued driver's license or state ID card is often used together with the SSA SS-5 form for both new applications and changes.
  • Marriage Certificate: For individuals seeking to change their name due to marriage, a marriage certificate will be necessary to document the name change formally and legally.
  • Divorce Decree: Similar to a marriage certificate, a divorce decree may be required for individuals changing their name back to their maiden name or to a previously used surname following a divorce.
  • Immigration Documents: Non-citizens applying for a Social Security number or card need to provide documentation that verifies legal immigration status, such as a green card (Permanent Resident Card) or a visa alongside their Department of Homeland Security (DHS) permission to work in the United States.
  • Medical Records (for children under age 5): When applying for a Social Security card for a child under the age of 5, medical records may be necessary to prove the child's age and identity, especially if a birth certificate does not provide sufficient detail.

Each of these documents plays a pivotal role in the application process for a Social Security card or in updating personal information within the Social Security Administration's records. It’s important for applicants to prepare the necessary documentation in advance to ensure a smooth and efficient process. Providing accurate and complete documents can significantly expedite applications or requests for changes.

Similar forms

  • Passport Application Form (DS-11): Similar to the SSA SS-5 form, the passport application requires detailed personal information, proof of citizenship, and identification to process the application. Both forms are instrumental in obtaining essential government-issued documents.

  • W-4 Form: Used for tax purposes, the W-4 form captures an employee's filing status and withholding allowances, paralleling the SS-5’s requirement for personal details to ensure accurate government records and services.

  • Driver’s License Application: This form collects personal information, proof of identity, and legal presence in a state, echoing the SSA SS-5 form’s goal of establishing identity for a governmental purpose.

  • Birth Certificate Request Form: Necessary for obtaining an official birth certificate, this form shares the SS-5's purpose of documenting identity from a governmental standpoint, often requiring similar personal data.

  • Voter Registration Form: Though its primary purpose is to register individuals to vote, it similarly gathers personal information and residency details, resembling the data collection aspect of the SS-5 form.

  • Medicare Enrollment Form: Like the SS-5, it’s essential for accessing government benefits, in this case, healthcare for seniors. Both require detailed personal information for enrollment.

  • Immigration Forms (I-485, Application to Register Permanent Residence or Adjust Status): These forms deal with immigration status and require extensive personal information, similar to the SS-5, which is often a prerequisite for such applications.

  • Bank Account Opening Form: When opening a new bank account, personal identification and information similar to what is asked on the SS-5 are required to comply with federal regulations.

  • Gun Permit Application: This application process includes thorough background checks and the collection of personal information, mirroring the identity verification aspect of the SSA SS-5 form.

  • Change of Address Form (USPS Form 3575): Though primarily for updating mailing address information, this form requires identification validation similar to the SS-5, ensuring the person’s identity aligns with official records.

Dos and Don'ts

Filling out the SSA SS-5 form, which is used to apply for a Social Security card, is a critical step in ensuring individuals have access to various services and benefits. Whether you're applying for the first time, replacing, or updating your Social Security card, accuracy and attention to detail are paramount. Here are seven dos and don'ts to guide you through the process:

Do:
  1. Review the instructions carefully before starting the form to ensure you understand each section and what is required of you.
  2. Gather all necessary documents beforehand, such as a birth certificate and valid identification, to confirm your age, identity, and legal status.
  3. Use blue or black ink if filling out the form by hand to ensure readability and to maintain formality.
  4. Answer all questions truthfully to the best of your knowledge, as providing false information can lead to significant penalties.
  5. Check your application for errors before submitting it, as even minor mistakes can delay processing.
  6. Include your contact information, such as a current address and phone number, to facilitate communication about your application.
  7. Keep a copy of your completed SS-5 form and documents submitted, as these may be important for your records and future reference.
Don't:
  1. Do not leave sections blank; if a section does not apply, mark it as 'N/A' or 'none,' whichever is appropriate.
  2. Avoid using correction fluid (like White-Out) on the form; if you make a mistake, it's preferable to start with a new form.
  3. Do not guess on dates or numbers; verify all information for accuracy before putting it on the form.
  4. Do not submit without checking document requirements, as missing or incorrect documentation can lead to your application being delayed or denied.
  5. Do not use nicknames or initials unless they are part of your legal name as printed on your identifying documents.
  6. Do not overlook the signature; an unsigned form is seen as incomplete and will not be processed.
  7. Avoid sending original documents when photocopies are acceptable, to prevent loss of important personal documents.

Misconceptions

When dealing with the Social Security Administration (SSA) SS-5 form, numerous misconceptions can lead to confusion and errors. Clearing up these misunderstandings is crucial for a smooth process in applying for a new or replacement Social Security card. Let's tackle nine common misconceptions.

  • It’s only for U.S. citizens. The SS-5 form is not exclusively for U.S. citizens. It's also required for non-citizens who are legally in the U.S. and need a Social Security Number (SSN) for work, taxation, or other legal obligations.
  • You can only submit it in person. While in-person submission is an option, the SSA also permits mail-in applications for a Social Security card, thereby providing convenience for all applicants.
  • There’s a fee. Applying for a Social Security card using the SS-5 form is entirely free. The SSA does not charge for this service, so anyone asking for payment is misleading you.
  • Any form of ID is acceptable. The SSA has strict requirements for identification documents. Only certain types of identification, such as a U.S. passport, U.S. driver's license, or a state ID card, are acceptable. These documents must be original or copies certified by the agency that issued them.
  • You need your birth certificate for a replacement card. While a birth certificate is an essential document for obtaining your initial Social Security card, for replacements, other forms of identification may suffice.
  • Parents can't apply for their child’s card. Parents or legal guardians can indeed apply for a Social Security card for their child by filling out the SS-5 form and providing the necessary documentation.
  • The process takes months. Often, the processing time for an SS-5 application is much shorter than people expect. While it can vary, many applicants receive their Social Security card within two to four weeks after the application is processed.
  • Errors on your form can’t be corrected after submission. If you notice an error on your SS-5 form after submitting it, contact the SSA as soon as possible. While corrections might require additional documentation or verification, they can often be made.
  • Your SSN can change. The SSN you receive is yours for life; it doesn’t change. Even if your card is lost or you go through a change in citizenship or immigration status, your SSN remains the same.

Understanding the realities surrounding the SSA SS-5 form can demystify the process and help individuals navigate it more successfully. Always refer to the latest guidelines provided by the SSA to ensure the most accurate and up-to-date information.

Key takeaways

The SSA SS-5 form is essential for a broad range of people, from new parents applying for a Social Security number for their newborn to adults needing a replacement Social Security card. Here are nine key takeaways to guide individuals through filling out and using the form effectively:

  • Application Accuracy: Ensuring all information is accurate and complete on the SSA SS-5 form is crucial to avoiding delays in processing. Double-check personal details like your full name, Social Security number (if applicable), and date of birth before submitting.
  • Documentation Requirements: Applicants must provide supporting documents to verify their identity, age, and citizenship or immigration status. Acceptable documents typically include a U.S. passport, birth certificate, or driver's license. For non-citizens, immigration documents are required.
  • Application for Minors: When applying on behalf of a child, parents or legal guardians need to provide both the child's and their own identification documents.
  • No Online Submission for First-Time Applicants: First-time applicants must either mail their completed SSA SS-5 form and original or certified documents to the Social Security Administration (SSA) or visit a local SSA office.
  • Replacement Card Limits: The SSA limits the number of replacement cards you can request to three per year and ten in a lifetime. Exceptions exist for legal name changes and other special circumstances.
  • Protecting Your Social Security Number: Keep your Social Security card in a safe place to protect against identity theft. Only carry it with you when absolutely necessary.
  • Free of Charge: There is no fee to apply for a Social Security card, whether it's a new issuance or a replacement.
  • Processing Time: The time it takes to receive a new or replacement Social Security card can vary, usually ranging from a few weeks to a month, depending on the specific circumstances and workload of the SSA office handling the application.
  • Post-Submission Updates: If your situation changes (e.g., address change) after submitting the SSA SS-5 form but before receiving the Social Security card, promptly notify the SSA to update your application.

Applying for or updating a Social Security card doesn't have to be complicated. By following these guidelines, individuals can navigate the process more smoothly and securely. If there are any questions, contacting the SSA directly or visiting their website is advised for the most current information and assistance.

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