Fill Out a Valid SSA SS-5 Form

Fill Out a Valid SSA SS-5 Form

The SSA SS-5 form is an essential application used by the Social Security Administration for individuals applying for an original or replacement Social Security card. This form encompasses a range of information from identity verification to citizenship status. Its completion is a critical step in securing one's right to various social services and benefits.

Open Your Form Now

Navigating the realm of social security benefits and services in the United States can often feel like an intricate dance, requiring precise steps and thorough documentation. Central to this process is the Social Security Administration's SS-5 Form, a critical document for anyone embarking on this journey. It serves multiple purposes, including applying for a new Social Security Number (SSN), requesting a replacement card, or making changes to your existing record, such as a name change due to marriage or divorce. The information required on the form is comprehensive, necessitating personal details that ensure the accurate and secure identification of the applicant. Understanding the intricacies of the SS-5 form is the cornerstone of effectively managing one's interactions with the Social Security Administration, highlighting its importance in safeguarding one’s identity and facilitating access to various social security benefits that individuals are entitled to throughout their lives.

Document Example

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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Form Breakdown

Fact Name Description
Purpose of the Form The SSA SS-5 form is used to apply for a Social Security card.
Applicable to New and Replacement Cards This form is needed whether you are applying for a new card, replacing a lost or stolen card, or updating information on your current card.
Requirement for Accurate Information Applicants must provide accurate personal information, including full legal name, date of birth, and citizenship or immigration status.
Supporting Documentation Submitting the form requires supporting documents verifying the applicant's identity, age, and citizenship or legal presence in the U.S.
No State-Specific Versions Unlike other forms, the SS-5 is a federal form and does not vary by state; the same version is used across the entire United States.

SSA SS-5 - Usage Guide

Applying for a Social Security card involves accurately completing the SSA SS-5 form, a crucial process for ensuring eligibility for social security benefits, employment in the United States, and for other purposes where a Social Security number is required. The importance of filling out this form correctly cannot be overstated, as errors can lead to delays or the rejection of the application. Whether applying for a new card, a replacement, or making changes to your current card (such as a name change), this step-by-step guide aims to make the process as straightforward as possible. It is advisable to have personal documents at hand, such as a birth certificate and a form of photo identification, to reference when filling out the form.

  1. Locate and download the form. The SSA SS-5 form can be found on the Social Security Administration's official website. Ensure you are downloading the most current form.
  2. Provide your basic information. Fill in your full legal name, including any middle name, as well as any other names you have used (e.g., maiden name or previous married names).
  3. Specify the reason for your application. Indicate whether you are applying for a new card, a replacement card, or a change in information on your existing card.
  4. Enter your date of birth and place of birth. Provide accurate details as these are crucial for identity verification. If born outside the United States, additional documentation will be required.
  5. State your citizenship status. Mark the appropriate box that indicates whether you are a U.S. citizen, a legal alien allowed to work, or other.
  6. Provide your parents’ Social Security numbers, if available. This information is not mandatory, but it can help speed up the processing of your application.
  7. Include your race/ethnicity, if comfortable. This question is optional and for statistical purposes only. It will not affect the processing of your application.
  8. Supply your mailing address. Ensure this address is accurate, as your new Social Security card will be sent here.
  9. List your contact information. Providing a current phone number or email address can be helpful in case the Social Security Administration needs to reach out for additional information or clarification.
  10. Sign and date the form. Your signature is required to validate the application. If the application is for a child, a parent or legal guardian must sign.

After completing the form, review it carefully to ensure all information is correct and no sections have been inadvertently skipped. The next steps usually involve submitting the form along with required documents that prove your identity, age, and citizenship or immigration status, such as a U.S. passport, birth certificate, or immigration documents. These documents must be original or copies certified by the issuing agency. Photocopies or notarized copies are not accepted. Your application can be submitted by mail or in person at a local Social Security office. Once received, the Social Security Administration will process your application, which can take a few weeks. Upon approval, your Social Security card will be mailed to the address you provided on the form.

More About SSA SS-5

What is the SSA SS-5 form used for?

The SSA SS-5 form is an application used to apply for a Social Security card. This includes obtaining a new card, replacing a card, or changing or updating information on your Social Security record.

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

Anyone who needs a new Social Security card, whether it's their first card or a replacement for a lost, stolen, or damaged card, should fill out the SSA SS-5 form. This also applies to those needing to change or update personal information recorded by the Social Security Administration, like a name change after marriage or divorce.

Can I submit the SSA SS-5 form online?

In many cases, yes, individuals can submit the SSA SS-5 form online through the Social Security Administration's official website. However, online submission may not be available for all situations, such as certain changes or updates to your Social Security record. It's important to check the SSA website for the most current information on this option.

What documents are required to submit with the SSA SS-5 form?

When submitting the SSA SS-5 form, you must provide documentation to prove your identity, age, and U.S. citizenship or lawful alien status. Typically, a birth certificate and a government-issued photo ID, such as a driver's license or passport, are required. Specific situations may require additional or alternative documentation.

How long does it take to receive a Social Security card after submitting the SSA SS-5 form?

The time it takes to receive a Social Security card can vary. After the SSA processes your application, which can take 2-4 weeks, your card is mailed to the address you provided. It's important to make sure your address is correct to avoid delays.

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. This includes first-time applications, replacements, and changes to your record. The Social Security Administration provides this service free of charge.

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

If you realize you have made a mistake on your SSA SS-5 form after submitting it, it's recommended to contact the Social Security Administration directly as soon as possible. They can advise on the best steps to correct the error, which may include submitting a new form or providing additional documentation.

Common mistakes

Filling out the SSA SS-5 form, which is used to apply for a Social Security card, can seem straightforward. However, many people find themselves stumbling over a few common pitfalls that can delay the process. Understanding these mistakes can help ensure the application is completed correctly, speeding up the time it takes to receive a new or replacement Social Security card.

One classic mistake is not double-checking the information for accuracy. It sounds simple, but entering incorrect information, such as a misspelled name or the wrong birthdate, can lead to significant delays. Accuracy is paramount when dealing with government forms, and even small errors can require starting the process over again.

Another common error is failing to provide the correct supporting documents. The SSA requires specific documents to prove identity, age, and citizenship or legal status. Submitting photocopies instead of original documents, or providing documents that do not meet the SSA's criteria, will result in an application being rejected.

Some applicants make the mistake of using the wrong form version. The SSA periodically updates its forms, and using an outdated version can mean your application is not processed. Always check for the most current form on the SSA's official website to avoid this issue.

Not filling out certain sections because they seem irrelevant is another mistake. Skipping sections, even if they appear not to apply, can lead to an incomplete application. If a section does not apply, it's better to enter "N/A" (not applicable) rather than leaving it blank, to show that it was not overlooked.

Overlooking the instructions for signatures can also trip people up. The SS-5 form requires a wet signature, meaning it has to be physically signed with a pen. Digital signatures or copies of signatures are not accepted. This requirement underscores the importance of printing out the form, signing it, and mailing it rather than trying to complete the entire process online.

Incorrectly listing parents' Social Security numbers is a mistake that's easy to make but can cause headaches. If you don't know a parent's Social Security number, it's better to leave this field blank rather than guessing. Incorrect numbers can complicate identity verification processes.

Another error comes from not using the correct application address. The SSA has specific mailing addresses based on where you live. Sending your application to the wrong address can delay processing times. Confirm the correct mailing address for your location on the SSA website before sending your application.

A subtler mistake is failing to follow specific name change procedures when applying for a card due to a change of name, for instance, after marriage or divorce. The SSA requires evidence of a legal name change. Ensure you provide the right documents to support the name change, like a marriage certificate or court order.

Lastly, a common oversight is not keeping a copy of your application and documents. Making copies before sending your original documents to the SSA can save you a lot of time and trouble if your application gets lost in the mail or if there are questions about your submission.

Documents used along the form

When individuals apply for a Social Security Number (SSN) or need to make changes to their record, the SSA SS-5 form is a critical document. However, submitting only the SS-5 form might not be sufficient. Applicants are often required to provide additional forms and documents to verify their identity, citizenship, or immigration status. Understanding the purpose and requirements of each accompanying document can streamline the application process and ensure compliance with Social Security Administration (SSA) guidelines.

  • Birth Certificate: This is one of the primary documents required to prove an applicant's age and citizenship. A certified copy of the birth certificate must be submitted to verify these details accurately.
  • U.S. Passport: Both valid and expired passports can be used. A U.S. passport serves a dual purpose; it can be used to establish both citizenship and identity. This makes it an important document for the SSN application process.
  • Driver's License: A state-issued driver's license can help in establishing the identity of the applicant. For verification purposes, it must be current and contain a photograph.
  • Immigration Documents: For non-citizens, legal immigration documents such as a green card (Permanent Resident Card), work permit (Employment Authorization Document), or visa are crucial. These documents are necessary to verify legal immigration status and eligibility for an SSN.
  • Marriage Certificate: In cases where a change in name due to marriage (or divorce) needs to be reported, a certified copy of the marriage certificate (or divorce decree) is required. This document helps in updating personal information in the SSA records.

Getting an SSN or updating your SSA records is a procedure that involves careful attention to detail, particularly concerning documentation. When individuals are well-informed about the necessary forms and documents, like the ones listed above, they are more likely to experience a smooth and efficient application process. The SSA provides guidelines and assistance throughout, but knowing what to prepare in advance can significantly expedite the process.

Similar forms

The SSA SS-5 form is closely related to the IRS W-9 form, primarily because both are essential for tax-related identification purposes. The W-9 form is used to provide the correct taxpayer identification number (TIN) to the entity or person who is required to file an information return with the IRS. Just as the SS-5 form is used to apply for a Social Security number, the W-9 is crucial for ensuring that individuals can be properly identified for taxation.

Similarly, the IRS Form 1040, the U.S. Individual Income Tax Return, shares attributes with the SS-5 form. While the SS-5 is for obtaining a Social Security number, necessary for individuals working in the U.S., the Form 1040 is where individuals use that Social Security number to report their annual income to the Internal Revenue Service. Both forms are pivotal in the management of an individual's tax liabilities and contributions to federal programs.

The I-9 form, or the Employment Eligibility Verification Form, is another document with similarities to the SSA SS-5. The I-9 is used by employers to verify an employee's identity and to prove that they are eligible to work in the United States. While the SS-5 form deals with obtaining a Social Security number, a requirement for most employees, the I-9 focuses on work authorization and identity verification, relying on documents such as a Social Security card.

Another analogous document is the U.S. Passport application. Much like the SS-5 form, which is used to apply for a Social Security number, a U.S. Passport application is used by individuals to apply for a passport, a vital document for international travel. Both processes require proof of identity, albeit for different reasons and under different circumstances.

The Department of Motor Vehicles (DMV) driver’s license application can also be compared to the SS-5 form. While the SS-5 form is necessary for obtaining a Social Security number, a DMV application is crucial for individuals who wish to legally operate a motor vehicle. Both forms require personal information and are fundamental for accessing essential services and functions within the United States.

Another form with similarities to the SSA SS-5 is the Birth Certificate Application form used in every state. This document is vital for obtaining a certified copy of a birth certificate, much like how the SS-5 is used to obtain a Social Security number. Both documents are crucial for establishing identity and are often required for enrollment in various programs and services.

The Voter Registration form is another document bearing resemblance to the SS-5 form. Just as the SS-5 is essential for obtaining a Social Security number to work in the U.S. and participate in other activities, registering to vote requires verification of identity and citizenship, enabling participation in the democratic process.

The Medicaid application form is similar to the SSA SS-5 form because both are gateways to essential services. Applying for Medicaid requires detailed personal information to determine eligibility for health coverage, much like the SS-5 form requires detailed information to issue a Social Security number, a prerequisite for many types of employment and government benefits.

Lastly, the application for a marriage license echoes the SSA SS-5 form's purpose in a unique way. Both documents are foundational for legal recognition—whether for marital status or for employment and taxation purposes. Each form requires personal information and, in some cases, proof of identity to process legal changes in status.

The FAFSA (Free Application for Federal Student Aid) form also has parallels with the SSA SS-5 form. Both are integral to accessing financial resources within the United States—SSA SS-5 for obtaining a Social Security number that is often needed for employment, and the FAFSA for gaining access to federal student financial aid for education. Each plays a distinct role in helping individuals achieve personal and professional goals.

Dos and Don'ts

Filling out the SSA Form SS-5, which is used to apply for a Social Security card, requires attention to detail and an understanding of the process. To ensure your application is processed efficiently and without delay, here are some important dos and don'ts to keep in mind:

Do:
  • Double-check the form for any errors or typos before submitting. Accuracy is key to a smooth process.
  • Use black or blue ink when filling out the form by hand. These colors are preferred for clarity and readability.
  • Provide original documents or copies certified by the issuing agency. Photocopies or notarized copies are not acceptable.
  • Fill out the form completely, leaving no fields blank unless the instructions specifically state it's allowed.
  • Sign the form. An unsigned application could lead to delays or rejection.
Don't:
  • Guess on any answers. If you're unsure about a response, it's better to seek clarification than to provide incorrect information.
  • Use correction fluid or tape. If you make a mistake, it's best to start with a new form to ensure the information is clear and legible.
  • Laminate or alter the Social Security card once you receive it. Such actions can invalidate the card.

Following these guidelines will help streamline the application process and avoid common pitfalls that can delay issuance of your Social Security card.

Misconceptions

The Social Security Administration (SSA) Form SS-5 is an application form used to apply for a Social Security card. This form is used whether you are applying for a new card, replacing a card, or changing or correcting information on your Social Security record. Despite its frequent use, there are several misconceptions about the SSA SS-5 form that need to be clarified.

  • Misconception 1: You can only submit the SS-5 form in person. While it's true that you can submit the form at your local Social Security office, you also have the option to mail it in. This flexibility allows individuals to apply without needing to visit an office, saving both time and effort.

  • Misconception 2: The SS-5 form is only for U.S. citizens. In reality, both U.S. citizens and non-citizens can use the form to apply for a Social Security card, provided non-citizens meet specific eligibility criteria and have the necessary immigration documents.

  • Misconception 3: Completing the SS-5 form grants immediate access to a Social Security card. After submitting the form, there is a processing period which varies in length. During this time, SSA verifies the information and documents provided. Only after this process is completed will a Social Security card be issued.

  • Misconception 4: You need to pay a fee to file the SS-5 form. Filing for a Social Security card is free. The SSA does not charge to process the SS-5 form, regardless of whether it’s a new application, a replacement, or a change in information.

  • Misconception 5: You need an attorney to complete the SS-5 form. While having a lawyer might be helpful in complex situations, most people can complete and submit the SS-5 form without legal assistance. The instructions provided by the SSA are generally straightforward and designed to be followed by the general public.

  • Misconception 6: A birth certificate is the only acceptable document for proof of age. The SSA accepts multiple documents as proof of age, including a birth certificate, passport, and other official documents that verify an individual's date of birth.

  • Misconception 7: Every change requires filling out a new SS-5 form. Some changes, particularly minor corrections or updates, may be handled differently and might not require a new form. It's important to check with the SSA about the specific changes you need to make.

  • Misconception 8: The SS-5 form can be filled out and submitted online. As of now, the SS-5 form cannot be submitted online. You must either mail it or deliver it in person to the SSA. This ensures the security and verification of sensitive personal information.

  • Misconception 9: You can use the SS-5 form to apply for Social Security benefits. The SS-5 form is specifically for obtaining, replacing, or correcting a Social Security card, not for applying for Social Security benefits like retirement or disability. Other forms are used for those applications.

  • Misconception 10: If your card is lost, you need to memorize your Social Security number before applying for a replacement. While knowing your Social Security number is helpful, you are not required to memorize it to apply for a replacement card. You will, however, need to provide sufficient identification for verification purposes.

Clearing up these misconceptions helps in understanding how to accurately complete and submit the SSA SS-5 form. Always refer to the latest guidelines from the Social Security Administration to ensure you have the most current information.

Key takeaways

The Social Security Administration (SSA) Form SS-5 is a vital document for US residents. It's the application form for obtaining a social security card, which is essential for various purposes like employment, taxation, and access to services. Here are five key takeaways about filling out and using the SSA SS-5 form:

  1. Accuracy is crucial: When completing the SS-5 form, it's imperative to provide accurate information. Any discrepancies or errors can lead to delays or rejection of the application. This includes making sure personal details, such as your full name, Social Security number (if you have one), date and place of birth, and parent's names, are correctly entered.
  2. Proof of identity is required: Submitting the form alone isn't enough; applicants must also provide documentation proving their identity, age, and U.S. citizenship or lawful immigration status. Typically, this involves a combination of documents, such as a passport, birth certificate, or permanent resident card.
  3. Follow the specific instructions for replacement cards: If you are applying for a replacement Social Security card, note that the procedures might differ slightly. While basic information and proof of identity are still required, you may not need to show proof of citizenship or immigration status if it was previously established on your record.
  4. Submitting the form: The SS-5 form can be submitted in two ways: in person at a local Social Security office or by mail. However, choosing to mail your form means you'll have to send original documents or copies certified by the issuing agency, as the SSA does not accept photocopies or notarized copies.
  5. There's no fee: There's no charge for applying for a Social Security card. This applies whether you're requesting a new card, replacing an existing card, or making changes to your card, such as a name change. Be wary of any services claiming to require payment for this process.
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