Form SS-5 (08-2011) ef (08-2011) Destroy Prior Editions

AppIication for a SociaI Security Card

Page 1
SOCIAL SECURITY ADMINISTRATION
AppIying for a SociaI 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.
OriginaI SociaI 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. f 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: f you are age 12 or older and have never received a Social Security number, you must apply in
person.
RepIacement SociaI Security Card
To apply for a replacement card, you must provide one document to prove your identity. f 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 SociaI 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. f 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. f 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
f 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 (08-2011) ef (08-2011) Page 2
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 : f 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
n general, you must provide your birth certificate. n 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.). f 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
f 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.
f 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 BRTH CERTFCATE, HOSPTAL SOUVENR BRTH CERTFCATE, SOCAL
SECURTY CARD STUB OR A SOCAL SECURTY RECORD as evidence of identity.
Evidence of U.S. Citizenship
n 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 -551, -94, or -766. f you are an international student or
exchange visitor, you may need to provide additional documents, such as Form -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. f 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 (08-2011) ef (08-2011) Page 3
HOW TO COMPLETE THIS APPLICATION
CompIete and sign this appIication LEGIBLY using ONLY bIack or bIue ink on the attached or
downIoaded form using onIy 8 " x 11" (or A4 8.25" x 11.7") paper.
GENERAL: tems on the form are self-explanatory or are discussed below. The numbers match the
numbered items on the form. f 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. f 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 is requested for informational and
statistical purposes only. Your choice whether to answer or not does not affect decisions we make on
your application. f you do provide this information, we will treat it very carefully.
9.B., 10.B. f 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. f the number is not known and you cannot obtain it, check the "unknown box.
13. f 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 SGN THE APPLCATON? f you are age 18 or older and are physically and mentally
capable of reading and completing the application, you must sign in item 17. f you are under age 18,
you may either sign yourself, or a parent or legal guardian may sign for you. f you are over age 18 and
cannot sign on your own behalf, a legal guardian, parent, or close relative may generally sign for you. f
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
n 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 (08-2011) ef (08-2011) Page 4
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 nternet requests
you did not initiate.
PRIVACY ACT STATEMENT
CoIIection and Use of PersonaI Information
Sections 205(c) and 702 of the Social Security Act, as amended, authorize us to collect this
information. The information you provide will be used to assign you a Social Security number and
issue a Social Security card.
The information you furnish on this form is voluntary. However, failure to provide the requested
information may prevent us from issuing you a Social Security number and card.
We rarely use the information you supply for any purpose other than for issuing a Social Security
number and card. However, we may use it for the administration and integrity of Social Security
programs. We may also disclose information to another person or to another agency in accordance
with approved routine uses, which include but are not limited to the following:
1. To enable a third party or an agency to assist Social Security in establishing rights to
Social Security benefits and/or coverage;
2. To comply with Federal laws requiring the release of information from Social Security
records (e.g., to the Government Accountability Office and Department of Veterans'
Affairs);
3. To make determinations for eligibility in similar health and income maintenance
programs at the Federal, State, and local level; and
4. To facilitate statistical research, audit or investigative activities necessary to assure the
integrity of Social Security programs.
We may also use the information you provide in computer matching programs. Matching programs
compare our records with records kept by other Federal, State, or local government agencies.
nformation from these matching programs can be used to establish or verify a person's eligibility
for Federally-funded or administered benefit programs and for repayment of payments or
delinquent debts under these programs.
Complete lists of routine uses for this information are available in System of Records Notice
60-0058 (Master Files of Social Security Number (SSN) Holders and SSN Applications). The
Notice, additional information regarding this form, and information regarding our systems and
programs, are available on-line at www.socialsecurity.gov or at any local Social Security office.
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 about 8.5 to 9.5
minutes to read the instructions, gather the facts, and answer the questions. You may send comments
on our time estimate to: SSA, 6401 Security Blvd., Baltimore, MD 21235-6401. Send onIy comments
reIating to our time estimate to this address, not the compIeted form.
Form SS-5 (08-2011) ef (08-2011) Page 5
Form Approved
OMB No. 0960-0066
SOCIAL SECURITY ADMINISTRATION
AppIication for a SociaI Security Card
1
NAME
TO BE SHOWN ON CARD
First Full Middle Name Last
FULL NAME AT BRTH
F OTHER THAN ABOVE
First Full Middle Name Last
OTHER NAMES USED
2
Social Security number previously assigned to the person
listed in item 1
3
PLACE
OF BIRTH
(Do Not Abbreviate) City State or Foreign Country
OIIice
Use
Only
FC
4
DATE
OF
BIRTH
MM/DD/YYYY
5
CITIZENSHIP
( Check One )
U.S. Citizen
Legal Alien
Allowed To
Work
Legal Alien Not Allowed
To Work(See
nstructions On Page 3)
Other (See
nstructions On
Page 3)
6
ETHNICITY
Are You Hispanic or Latino?
(Your Response is Voluntary)
Yes No
7
RACE
Select One or More
(Your Response is Voluntary)
Native Hawaiian
Alaska Native
Asian
American ndian
Black/African
American
Other Pacific
slander
White
8
SEX
Male Female
9
A. PARENT/ MOTHER'S
NAME AT HER BIRTH
First Full Middle Name Last
B. PARENT/ MOTHER'S SOCIAL
SECURITY NUMBER (See instructions for 9 B on Page 3)
Unknown
10
A. PARENT/ FATHER'S
NAME
First Full Middle Name Last
B. PARENT/ FATHER'S SOCIAL SECURITY
NUMBER (See instructions for 10B on Page 3)
Unknown
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?
Yes (f "yes" answer questions 12-13) No Don't Know (f "don't know," skip to question 14.)
12
Name shown on the most recent Social
Security card issued for the person
listed in item 1
First Full Middle Name Last
13
Enter any different date of birth if used on an
earlier application for a card
MM/DD/YYYY
14
TODAY'S
DATE MM/DD/YYYY
15
DAYTIME PHONE
NUMBER
Area Code Number
16 MAILING ADDRESS
Do Not Abbreviate
Street Address, Apt. No., PO Box, Rural Route No.
City State/Foreign Country ZP Code
17
I decIare under penaIty of perjury that I have examined aII the information on this form, and on any accompanying statements or forms,
and it is true and correct to the best to my knowIedge.
YOUR SIGNATURE
18
YOUR RELATIONSHIP TO THE PERSON IN ITEM 1 IS:
Self
Natural Or
Adoptive Parent
Legal Guardian Other Specify
DO NOT WRTE BELOW THS LNE (FOR SSA USE ONLY )
NPN DOC NT CAN TV
PBC EV EVA EVC PRA NWR DNR UNT
EVDENCE SUBMTTED
SGNATURE AND TTLE OF EMPLOYEE(S) REVEWNG
EVDENCE AND/OR CONDUCTNG NTERVEW
DATE
DCL DATE
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