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The SSA SS-5 form is a crucial document for anyone seeking to obtain a Social Security number in the United States. This form serves as the official application for a Social Security card, which is essential for various aspects of daily life, including employment, tax reporting, and accessing government services. It is designed for a range of applicants, from newborns to adults who have never received a Social Security number before. The form requires personal information such as your name, date of birth, and place of birth, as well as details about your parents. Additionally, it includes sections that address citizenship status and the reasons for applying. Understanding the SSA SS-5 form and its requirements can simplify the process of obtaining a Social Security number, ensuring that you have the necessary identification for both personal and professional endeavors.

SSA SS-5 Example

Form SS-5 (12-2024) UF

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Discontinue Prior Editions

Social Security Administration

OMB No. 0960-0066

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 (12-2024) UF

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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 (12-2024) UF

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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 (12-2024) UF

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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 202, 205(c), and 702 of the Social Security Act (Act), as amended, allow us to collect this information, which we will use to assign a Social Security number, issue a Social Security card, and make a timely determination concerning eligibility for Social Security benefits. Providing the information is voluntary, but not providing all or part of the information may prevent us from assisting you. As law permits, we may use and share the information you submit, including with other Federal agencies, contractors, and others, as outlined in the routine uses within System of Records Notices (SORN) 60-0058, 60-0090, 60-0103, and 60-0104, available at www.ssa.gov/privacy. The information you submit may also be used in computer matching programs to establish or verify eligibility for Federal benefit programs and to recoup debts under these programs. The Act also allows us to collect race and ethnicity information, which we will use for research and statistical purposes. Furnishing us this information is voluntary and will not be used in decisions about your application.

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.

File Breakdown

Fact Name Description
Purpose The SSA SS-5 form is used to apply for a Social Security card, which is necessary for obtaining Social Security benefits and for tax purposes.
Eligibility Any U.S. citizen, permanent resident, or eligible non-citizen can apply for a Social Security card using this form.
Submission The completed SSA SS-5 form must be submitted in person or by mail to the Social Security Administration, along with required identification documents.
State-Specific Forms While the SSA SS-5 is a federal form, specific state laws may govern the documentation required for identification. Refer to local regulations for details.

Guide to Using SSA SS-5

Filling out the SSA SS-5 form is an important step in applying for a Social Security number. Once you have completed the form, you will need to submit it along with any required documents to the Social Security Administration. This process is straightforward, but attention to detail is crucial to ensure everything is processed smoothly.

  1. Begin by downloading the SSA SS-5 form from the Social Security Administration's website or obtain a physical copy from your local Social Security office.
  2. At the top of the form, provide your name as it appears on your birth certificate or legal documents.
  3. Fill in your Social Security number if you have one. If this is your first application, leave this section blank.
  4. Enter your date of birth. Make sure to format it correctly, typically as month/day/year.
  5. Provide your place of birth, including the city and state or country.
  6. Indicate your gender by checking the appropriate box.
  7. Next, fill in your parents' names, including your mother's maiden name. This information is important for identification purposes.
  8. Complete the section regarding your citizenship status. Indicate whether you are a U.S. citizen, a permanent resident, or a non-citizen.
  9. Provide your current address, including street, city, state, and zip code. Make sure this information is accurate.
  10. If applicable, enter your mailing address if it differs from your current address.
  11. List any other names you have used, such as maiden names or aliases.
  12. Sign and date the form at the bottom. Your signature confirms that all the information you provided is true and accurate.
  13. Gather any required documents that support your application, such as a birth certificate, passport, or immigration documents.
  14. Submit the completed form and documents to your local Social Security office or send them by mail to the address specified on the form.

Get Answers on SSA SS-5

What is the SSA SS-5 form?

The SSA SS-5 form is an application used to apply for a Social Security Number (SSN). This form is essential for individuals who need an SSN for various purposes, such as employment, tax reporting, or obtaining government benefits.

Who needs to fill out the SSA SS-5 form?

Anyone who does not currently have a Social Security Number or needs to replace a lost or stolen card must complete the SSA SS-5 form. This includes:

  • Newborns
  • Children
  • Adults applying for the first time
  • Individuals needing a replacement card

Where can I obtain the SSA SS-5 form?

You can download the SSA SS-5 form from the Social Security Administration's website. Alternatively, you can visit your local Social Security office to pick up a physical copy.

What information do I need to provide on the SSA SS-5 form?

The form requires basic personal information, including:

  1. Your name
  2. Your date of birth
  3. Your place of birth
  4. Your parents' names and SSNs (if applicable)
  5. Your gender
  6. Your mailing address
  7. Your reason for applying

Can I submit the SSA SS-5 form online?

Currently, the SSA SS-5 form cannot be submitted online. You must print the completed form and mail it to the appropriate Social Security office or bring it in person.

How long does it take to receive my Social Security Number after submitting the form?

After submitting the SSA SS-5 form, it typically takes about 10 to 14 days to receive your Social Security Number. However, processing times may vary based on the volume of applications and other factors.

What should I do if I make a mistake on the SSA SS-5 form?

If you realize you made a mistake after submitting the form, contact your local Social Security office as soon as possible. They can guide you on how to correct the error or provide further instructions.

Is there a fee for applying for a Social Security Number using the SSA SS-5 form?

No, there is no fee to apply for a Social Security Number using the SSA SS-5 form. The service is provided free of charge by the Social Security Administration.

What if I am not a U.S. citizen? Can I still apply for an SSN?

Yes, non-U.S. citizens can apply for a Social Security Number. However, you must have a valid immigration status and a reason for needing an SSN, such as employment or receiving government benefits.

How can I track the status of my SSA SS-5 application?

You can check the status of your application by contacting your local Social Security office. They can provide updates on your application and any additional steps you may need to take.

Common mistakes

When filling out the SSA SS-5 form, which is used to apply for a Social Security number, people often make several common mistakes that can delay the process. One frequent error is providing incorrect personal information. This can include misspellings of names, wrong birth dates, or inaccurate addresses. Such inaccuracies can lead to complications in processing the application.

Another mistake involves not using the correct documentation. Applicants must provide proof of identity and citizenship or lawful immigration status. Failing to include the necessary documents or submitting copies instead of original documents can result in a denial of the application.

Some individuals overlook the importance of signing the form. An unsigned application is considered incomplete and cannot be processed. It is essential to remember that the signature certifies the information provided is true and correct.

In addition, applicants sometimes forget to check the form for completeness. Leaving sections blank or not answering all questions can raise red flags during the review process. Each section of the form should be filled out carefully to avoid delays.

Another common issue is not using the most current version of the form. The SSA periodically updates its forms, and using an outdated version can lead to confusion and potential rejection of the application.

People may also misinterpret the instructions provided with the form. It is important to read all instructions carefully to ensure compliance with the requirements. Misunderstanding what is needed can lead to incomplete submissions.

Some applicants fail to provide a valid email address or phone number. Contact information is crucial for the SSA to reach applicants if there are questions or issues with the application. Without this information, communication may be delayed.

Additionally, individuals might underestimate the importance of submitting the application in a timely manner. Delays can occur if the application is sent close to a deadline or if it is not mailed promptly after completion.

Lastly, applicants sometimes neglect to keep copies of their submitted forms and documents. Keeping a record is essential for tracking the application status and for reference in case any issues arise in the future.

Documents used along the form

The SSA SS-5 form is essential for applying for a Social Security Number (SSN). However, several other forms and documents may be required or helpful during this process. Below is a list of these documents, each described briefly for clarity.

  • Form I-9: This form is used to verify the identity and employment authorization of individuals hired for employment in the United States.
  • Form W-2: Employers provide this form to report an employee's annual wages and the taxes withheld from their paycheck.
  • Form 1040: This is the standard individual income tax return form used by U.S. taxpayers to report their annual income and calculate their tax liability.
  • Birth Certificate: A certified copy of an individual's birth certificate is often required to verify identity and age when applying for an SSN.
  • Passport: A valid U.S. passport serves as proof of identity and citizenship, often accepted when applying for an SSN.
  • Driver's License: A state-issued driver's license can be used as a form of identification when applying for an SSN.
  • Social Security Card: If a person is replacing a lost or stolen card, they may need to provide their previous Social Security number.
  • Immigration Documents: Non-citizens may need to provide specific immigration documents, such as a green card or work visa, to establish eligibility for an SSN.
  • Form SSA-89: This form allows individuals to authorize the Social Security Administration to release their SSN verification to a third party.

Gathering these documents can streamline the application process for an SSN. Ensure all information is accurate and up-to-date to avoid delays.

Similar forms

The SSA SS-5 form is essential for individuals applying for a Social Security number. It shares similarities with several other important documents that serve various purposes in identity verification and benefits administration. Below is a list of nine documents that are comparable to the SSA SS-5 form:

  • Passport Application Form (DS-11): Like the SS-5, this form is used to establish identity and citizenship when applying for a passport.
  • Birth Certificate: This document verifies an individual's date of birth and identity, similar to how the SS-5 establishes eligibility for a Social Security number.
  • Driver's License Application: This form is required to obtain a driver's license, serving as a means of identity verification much like the SS-5.
  • Voter Registration Form: This form registers individuals to vote and often requires proof of identity, paralleling the identity verification purpose of the SS-5.
  • Medicaid Application: This document requires personal information to determine eligibility for health coverage, similar to the information required on the SS-5.
  • Employment Eligibility Verification Form (I-9): This form verifies an employee's identity and eligibility to work in the U.S., akin to the identity confirmation process of the SS-5.
  • State Identification Card Application: Similar to the SS-5, this application establishes identity for those who do not have a driver's license.
  • Social Security Benefits Application (SSA-1): This form is used to apply for Social Security benefits and requires similar personal information as the SS-5.
  • Insurance Application (Health or Life): Applications for various insurance types often require personal information for identity verification, paralleling the SS-5's purpose.

Dos and Don'ts

When filling out the SSA SS-5 form, it is essential to approach the process with care and attention. Below is a list of things you should and shouldn't do to ensure your application is completed accurately.

  • Do read the instructions carefully before starting the form.
  • Do provide accurate and complete information for each section.
  • Do use black or blue ink when filling out the form by hand.
  • Do double-check your entries for any errors or omissions.
  • Don't leave any required fields blank; all necessary information must be provided.
  • Don't use correction fluid or tape to fix mistakes; instead, start a new form if errors occur.
  • Don't submit the form without signing and dating it, as this is a crucial step in the process.

By following these guidelines, you can help ensure a smoother application process for obtaining a Social Security number.

Misconceptions

The SSA SS-5 form is essential for obtaining a Social Security number. However, several misconceptions can lead to confusion. Here are seven common misunderstandings about this form:

  1. It is only for U.S. citizens.

    Many believe that only U.S. citizens can apply for a Social Security number using the SS-5 form. In reality, eligible non-citizens, such as lawful permanent residents, can also apply.

  2. Only children need to fill out the SS-5.

    Some think the SS-5 is exclusively for children. Adults who need a Social Security number for the first time must also complete this form.

  3. You can apply online for the SS-5.

    While some Social Security services can be accessed online, the SS-5 form must be submitted in person or by mail, depending on the applicant's situation.

  4. The SS-5 is a complicated form.

    Many people view the SS-5 as overly complex. In truth, it is straightforward and can be completed with basic personal information.

  5. Supporting documents are not necessary.

    Some applicants think they can submit the SS-5 without any documentation. However, proof of identity, age, and citizenship or immigration status is required.

  6. Once you apply, you will receive your number immediately.

    People often expect an instant response after submitting the SS-5. Processing times can vary, and it may take several weeks to receive the Social Security number.

  7. The form is only for those seeking employment.

    While many associate the SS-5 with job applications, a Social Security number is also necessary for various purposes, including tax reporting and receiving government benefits.

Understanding these misconceptions can help ensure a smoother application process for the SSA SS-5 form.

Key takeaways

When filling out and using the SSA SS-5 form, it's crucial to understand its purpose and requirements. Here are some key takeaways to keep in mind:

  1. Purpose of the Form: The SSA SS-5 form is used to apply for a Social Security card, whether it’s a new application, a replacement, or a name change.
  2. Eligibility: You must be a U.S. citizen, a lawful permanent resident, or a non-citizen with valid immigration status to apply for a Social Security number.
  3. Required Information: Be prepared to provide personal details such as your name, date of birth, and place of birth. Additional documentation may be required for certain applicants.
  4. Submitting the Form: You can submit the completed SSA SS-5 form online, by mail, or in person at your local Social Security office. Choose the method that is most convenient for you.
  5. Processing Time: After submission, processing times can vary. It’s important to apply well in advance of any deadlines to ensure you receive your card in time.

Following these guidelines will help ensure a smoother application process for your Social Security card.