Free SSA SS-5 Form in PDF

Free SSA SS-5 Form in PDF

The SSA SS-5 form is a critical document used to apply for a Social Security card, an essential step for working, receiving Social Security benefits, and accessing other government services in the United States. It is designed to collect personal information necessary to accurately identify and issue a Social Security number to an individual. For those needing to obtain or replace a Social Security card, completing this form carefully is the first step. Click the button below to start filling out your SSA SS-5 form today.

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Securing a Social Security number (SSN) is a critical step for any resident in the United States, serving as a key to accessing a wide range of benefits, from federal financial aid to employment in the U.S. The SSA SS-5 form is the gateway to obtaining an SSN, a document that individuals must fill out with great care. This form is utilized not only by citizens but also by non-citizens who are permitted to work or live in the U.S. It is essential for filing taxes, applying for loans, and receiving social security benefits among other things. Completing the SSA SS-5 correctly is crucial; it requires providing personal information, including your full legal name, date and place of birth, and citizenship status. Furthermore, it demands evidence of identity, age, and current U.S. immigration status for non-citizens. Given its importance in the U.S. social and economic systems, understanding the proper way to fill out and submit this form is fundamental for everyone looking to establish or maintain their official identity in the United States.

Preview - SSA SS-5 Form

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

 

 

 

 

 

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Document Specs

Fact Name Description
Form Purpose The SSA SS-5 form is used for applying for a Social Security card.
Applicable To This form is for individuals needing a new, replacement, or corrected Social Security card.
Submission Requirements Applicants must provide evidence of age, identity, and U.S. citizenship or lawful immigration status.
Availability The form is available online, at any Social Security office, or by mail.
Processing Time Processing times can vary, but individuals typically receive their Social Security card within 10 to 14 business days from the date the application is processed.
Governing Law Federal laws govern the issuance and management of Social Security numbers and cards, without specific variance by state.

Instructions on Writing SSA SS-5

Filling out the SSA SS-5 form can seem daunting at first glance, but it's a straightforward process once you understand what's required. This form is crucial for anyone applying for a new Social Security card, whether it's due to a name change, a lost card, or if it's for a new family member's very first card. The information provided must be accurate and complete to ensure a smooth procedure. Follow these steps carefully to successfully complete your SSA SS-5 application.

  1. Gather all necessary original documents or certified copies that verify your identity, age, and U.S. citizenship or immigration status.
  2. Download a fresh copy of the SSA SS-5 form from the official Social Security Administration website to ensure you have the latest version.
  3. Print the form using black ink, as this is typically required for official government documents.
  4. Start by providing your full legal name as it appears on your birth certificate or legal identification.
  5. Fill in your social security number (SSN) if you are applying for a replacement card.
  6. For a new social security card, skip the SSN section and proceed to provide your date of birth and place of birth.
  7. Check the appropriate box to indicate your citizenship status (U.S. citizen, legal alien allowed to work, etc.).
  8. Specify your ethnicity and race, if required. This section is usually optional.
  9. Enter your parent’s full legal names, including your mother’s maiden name, and their social security numbers if known.
  10. Include your current mailing address where you can receive the card.
  11. Provide any previous names if you’ve legally changed your name due to marriage or for other reasons.
  12. Indicate whether you have ever received a Social Security card before and, if so, how the name appeared on the card.
  13. Detail the gender you identify with. This is important for record accuracy.
  14. Sign and date the form in black ink, ensuring your signature stays within the designated box.
  15. Review your form for any mistakes or omissions to guarantee the information is accurate and complete.
  16. Mail your form along with the necessary documents to your local Social Security office or take them in person. It’s advisable to find the closest one to you for faster processing.

After submitting the SSA SS-5 form, the waiting period for receiving your Social Security card can vary. Rest assured, by following each step diligently, you have ensured that your application is well-prepared, potentially reducing delays. Remember, safeguarding your new card upon arrival is paramount, as it’s a vital piece of your identification portfolio.

Understanding 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. It is required for obtaining a new card, replacing a card, and making changes to your record, such as a name change or correcting information on your Social Security record.

Where can I find the SSA SS-5 form?

The SSA SS-5 form can be obtained from the Social Security Administration's (SSA) website. Alternatively, individuals can also pick up the form in person at any SSA office. It is available for free and can be printed for submission.

What information is needed to fill out the SSA SS-5 form?

To fill out the SSA SS-5 form, individuals will need to provide their full name, Social Security number (if they have one), date and place of birth, citizenship status, ethnicity, and sex. Additionally, documentation proving identity, age, and citizenship or lawful immigration status will be required.

Can I apply for a Social Security number for the first time with the SSA SS-5 form?

Yes, the SSA SS-5 form is also used by individuals applying for a Social Security number for the first time. This applies to both adults and children. When applying, you will need to provide original documents or certified copies by the issuing agency to prove your identity, age, and citizenship or immigration status.

Is there a fee to apply for a Social Security card with the SSA SS-5 form?

No, there is no fee to apply for a Social Security card. This includes when you are applying for a new card, replacing a current card, or making changes to your card. The Social Security Administration provides this service free of charge.

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

The time it takes to receive a new Social Security card after submitting the SSA SS-5 form can vary. Generally, it takes about 10 to 14 business days from the date the application is processed. The processing time can be longer if there is a need for further review or additional documents are required.

Common mistakes

Certainly! The SSA SS-5 form is an essential document for anyone applying for a new or replacement Social Security card. Filling it out correctly is critical to ensure a smooth process. Here are six common mistakes people make when completing this form.

One of the most frequent errors is not providing the correct documentation. Applicants often forget that the Social Security Administration (SSA) requires specific, original documents to prove U.S. citizenship, age, and identity. Photocopies or notarized copies are not acceptable. Submitting incorrect documentation can lead to delays or the outright rejection of the application.

Another common mistake is using nicknames or initials instead of the full legal name. The name on the SS-5 form should match exactly with the name on the applicant's identification documents. Any discrepancy in names can cause confusion and further delay the application process.

People often overlook the importance of filling out the form legibly. If SSA employees can't read your handwriting, this can lead to incorrect data being entered into their system. This error is easily avoided by taking your time to fill out the form clearly and legibly or by typing the information if the form's format allows.

Some applicants mistakenly think they need to complete every field on the SS-5 form. However, not all sections apply to every individual. For instance, if a question does not apply to your situation, it's generally acceptable to leave it blank or enter “N/A” (not applicable). Filling out sections that don't apply to you can introduce unnecessary confusion.

Another error involves not checking the form for mistakes before submitting. Simple errors like incorrect dates of birth, social security numbers, or addresses can significantly delay processing. It's crucial to review every piece of information on the form thoroughly.

Lastly, one of the most critical mistakes is failing to sign the form. A lack of signature immediately invalidates the application, as it's a necessary part of confirming the applicant's identity and consent. Always double-check that you've signed the form before sending it to the SSA.

By avoiding these common mistakes, you can help ensure a smoother process in obtaining or replacing a Social Security card.

Documents used along the form

When people seek to obtain or replace a Social Security card, they fill out the Social Security Administration (SSA) Form SS-5. This process often requires additional documentation to verify identity, citizenship, or immigrant status. The forms and documents that accompany the SSA SS-5 are crucial in establishing the eligibility for a Social Security Number (SSN), which plays a vital role in employment, taxation, and access to certain government services in the United States. Here's a look at seven forms and documents frequently used alongside the SSA SS-5 form, each serving a specific purpose in the application process.

  • Birth Certificate - This vital record proves your age, identity, and citizenship or legal residency, serving as a primary document for the SS-5 application.
  • Passport - Whether it's a U.S. passport or a foreign one, this document can be used to establish both identity and citizenship, particularly useful for individuals born outside the United States.
  • Driver’s License - A state-issued driver’s license is a commonly used form of photo identification, helping to verify the applicant's identity.
  • State Identification Card - For those who do not drive, a state-issued ID card serves a similar purpose to a driver’s license, providing proof of identity.
  • Immigration Documents - For non-citizens, documents such as a Permanent Resident Card (I-551), Employment Authorization Card (I-766), or a visa accompanied by an I-94 form are necessary to demonstrate legal immigration status.
  • Marriage Certificate or Divorce Decree - These documents may be required to prove a legal change of name, if the name on the SS-5 application differs from that on the primary identification document.
  • Adoption Decree - In cases of adoption, this document is needed to establish a change of name and, in some instances, citizenship or lawful alien status.

Each of these documents plays a vital role in the comprehensive process of applying for or replacing a Social Security card. Ensuring the correct and complete submission of the required forms and documentation is key to a smooth application process. Individuals need to carefully review the requirements related to their specific circumstances, as missing or incorrect information can lead to delays or denial of an application. Understanding the purpose and requirement of each document helps applicants efficiently navigate through the complexities of obtaining a Social Security card.

Similar forms

The SSA SS-5 form, utilized for applying for a new or replacement Social Security card, bears similarity to the IRS Form W-9, Request for Taxpayer Identification Number and Certification. Both forms are essential for individuals within the United States to confirm their identity and eligibility for employment or financial activities. The IRS Form W-9 is equally crucial as the SSA SS-5, as it is used by individuals to provide their taxpayer identification number to entities which will pay them income, ensuring proper tax reporting.

Another document similar to the SSA SS-5 form is the U.S. Passport Application Form DS-11. Like the SSA SS-5, the DS-11 is used when individuals need to establish their identity and nationality, specifically for the purpose of international travel. Both documents require applicants to provide personal information, proof of identity, and citizenship to process their application.

The Department of Motor Vehicles (DMV) driver’s license application also parallels the SSA SS-5 form in its purpose of identity verification. Applicants for a driver’s license must provide sufficient proof of identity, residency, and eligibility — akin to the requirements for obtaining a Social Security card. This process ensures the holder is correctly identified for both legal driving and identity verification purposes.

Similarly, the Employment Eligibility Verification Form I-9 shares objectives with the SSA SS-5 form. Employers use the Form I-9 to verify an employee's identity and eligibility to work in the U.S., which often requires a Social Security Number (SSN) as part of the documentation process. Thus, the SSA SS-5 form is a critical step for employees to fulfill the requirements of the I-9 form.

The Application for Enrollment in Medicare - Form CMS-40B is akin to the SSA SS-5 as it necessitates personal identification information and a Social Security Number to enroll individuals in Medicare. Both forms play pivotal roles in accessing government-sponsored benefits, underscoring the importance of accurate personal identification.

Certificate of Naturalization Form N-550 or N-570 has its objectives aligned with the SSA SS-5 form, in that it provides an identity and legal status verification for naturalized citizens. Like applying for a Social Security card, obtaining a Certificate of Naturalization is a crucial step for citizens born outside the United States to be recognized officially as U.S. citizens.

The Voter Registration Application in various states similarly requires identification verification and, in some cases, a Social Security Number, making it comparable to the SSA SS-5 form. This process ensures that the individual’s identity is verified, enabling them to exercise their right to vote.

Birth Certificate Application forms across states also share similarities with the SSA SS-5 form, as they require detailed personal information to verify identity and record vital information. Both documents are foundational for proving identity and are often used together in various application processes, including passport and driver’s license applications.

The Selective Service Registration Form, required for U.S. males between the ages of 18 and 25, is akin to the SSA SS-5 in its function of cataloging individuals for government records. The acquisition of a Social Security Number is often a prerequisite for completing the registration, highlighting the interconnectedness of government documentation.

Finally, the Application for Replacement Naturalization/Citizenship Document, Form N-565, is similar to the SSA SS-5 form in that both are used to replace important government-issued documents. Individuals must provide comprehensive personal identification information to secure a replacement, ensuring their identity and legal status remain accessible and up-to-date.

Dos and Don'ts

When applying for a Social Security card, accurately filling out form SSA SS-5 is crucial. Here are some important dos and don'ts to keep in mind:

Do:
  1. Provide complete and accurate information in every section to prevent delays or rejection of your application.

  2. Use black or blue ink when filling out the form by hand, as these colors are most easily read and scanned.

  3. Include original documents or certified copies from the issuing agency to prove your identity, age, and U.S. citizenship or immigration status. Photocopies or notarized copies are not acceptable.

  4. Review your application thoroughly before submitting it to ensure all information is correct and no required fields are missed.

  5. Sign and date the form to certify that the information provided is accurate to the best of your knowledge.

  6. Keep a copy of your completed SSA SS-5 form and the documents you submit for your own records.

Don't:
  • Rush through filling out the form, as mistakes can lead to processing delays or the need to submit a new application.

  • Use highlighters or correction fluid on the form; if you make a mistake, it’s best to start over with a new form to ensure legibility.

  • Submit without verifying that all necessary fields are filled out and all required documentation is included to avoid delays.

  • Forget to specify the reason you are applying for a Social Security card, whether it's a new card, replacement, or a correction.

  • Provide fraudulent documents or false information, as this can lead to severe penalties, including fines and imprisonment.

  • Ignore instructions or requests for additional information from the Social Security Administration, as this can further delay the process.

Misconceptions

The SSA SS-5 form, a vital document for many interactions with the Social Security Administration (SSA), is often surrounded by myths and misconceptions. These misunderstandings can range from who needs to fill it out to what information is required. Here, we aim to clarify some of these misconceptions to better equip individuals navigating through their social security matters.

  • Misconception 1: The SS-5 form is only for those applying for a Social Security number for the first time.
    Many believe the SS-5 form is solely for individuals applying for their initial Social Security Number (SSN). However, it's also required for more than just the initial application. The form is used for requesting a replacement Social Security card, changing or updating personal information with the SSA, such as a name change after marriage or divorce, and correcting records. This broad application scope emphasizes the form's versatility beyond just acquiring a new SSN.

  • Misconception 2: You can submit the SS-5 form online without any additional documentation.
    While the digital age has made many government processes easier with online submissions, the SS-5 form process requires more than just digital completion and submission. Applicants need to provide original documents or certified copies by the issuing agency to verify their identity, age, and citizenship or lawful alien status. Simply submitting the form online without these documents will not suffice. The SSA requires this documentation to prevent fraud and ensure accuracy in issuing Social Security numbers and cards.

  • Misconception 3: There is a fee to apply for a Social Security card using the SS-5 form.
    It's a common belief that there are fees associated with the application or replacement of a Social Security card. However, the Social Security Administration does not charge any fees to individuals submitting an SS-5 form for a new or replacement Social Security card. This misconception might stem from private companies that charge fees to assist with the application process, but directly applying through the SSA is free of charge.

  • Misconception 4: Parents only need to fill out the SS-5 form for a newborn at the hospital.
    While most newborns are assigned a Social Security Number (SSN) through the hospital's birth registration process, which involves completing an SS-5 form, there are instances where a parent might need to apply directly to the SSA. For example, if the newborn wasn't assigned an SSN at birth for any reason, or if the parents decided not to apply for an SSN immediately after the child's birth. Therefore, understanding that the SS-5 form can be submitted after leaving the hospital is crucial for those rare cases where an SSN wasn't obtained through the standard birth registration process.

Key takeaways

The SSA SS-5 form is a crucial document for anyone applying for a new or replacement Social Security card. Understanding how to properly fill out and use this form can save you a lot of time and effort. Here are some key takeaways to help guide you through the process:

  1. Before you start filling out the SSA SS-5 form, ensure you have all the necessary documentation. This includes proof of identity, age, and U.S. citizenship or lawful alien status. Acceptable documents vary, so check the latest requirements on the Social Security Administration's website.

  2. Fill out the form carefully and legibly. Any errors or illegible information can delay the processing of your application. If you're unsure about a specific section, it's better to seek clarification than to guess.

  3. You can obtain the SSA SS-5 form online or from your local Social Security office. If you're not confident about filling it out on your own, assistance is available at Social Security offices.

  4. There is no charge for applying for a Social Security card, so be wary of any services or websites that request a fee for obtaining or filling out the SSA SS-5 form. Unfortunately, scams targeting individuals applying for governmental documents are not uncommon.

  5. Once your form is complete, you can submit it either in person at a Social Security office or by mail. When mailing your application, make sure to use a secure method to reduce the risk of losing your documents. Keep in mind, you'll need to include original documents or copies certified by the issuing agency to prove your identity, so be prepared to be without these documents for a short period.

Finally, keep a copy of your filled-out SSA SS-5 form and the receipt of your application submission for your records. This can be helpful for tracking your application and for peace of mind. By following these tips, the process of applying for your Social Security card can be smooth and stress-free.

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