Go Law

Go Law

Homepage Download SSA SS-5 Form in PDF
Contents

The SSA SS-5 form plays a crucial role in the process of obtaining a Social Security number, a key element for individuals in the United States seeking to access various benefits and services. This form is primarily used by U.S. citizens, permanent residents, and eligible non-citizens to apply for their very first Social Security number or to request a replacement for a lost or stolen card. The application requires personal information, including the applicant's name, date of birth, and place of birth, as well as details about the parents, such as their Social Security numbers. It's important to note that the SSA SS-5 form must be filled out accurately to avoid delays in processing. Once completed, the form can be submitted either online or through a local Social Security Administration office, ensuring that applicants can choose the method that best suits their needs. Understanding the nuances of this form can significantly streamline the application process and help individuals secure their Social Security number efficiently.

Preview - SSA SS-5 Form

Form SS-5 (12-2024) UF

Page 1 of 5

Discontinue Prior Editions

Social Security Administration

OMB No. 0960-0066

Application for a Social Security Card

Applying for a Social Security Card is free!

USE THIS APPLICATION TO:

Apply for an original Social Security card

Apply for a replacement Social Security card

Change or correct information on your Social Security number record

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

Original Social Security Card

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

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

Replacement Social Security Card

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

Changing Information on Your Social Security Record

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

LIMITS ON REPLACEMENT SOCIAL SECURITY CARDS

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

IF YOU HAVE ANY QUESTIONS

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

Form SS-5 (12-2024) UF

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 (12-2024) 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 (12-2024) 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 202, 205(c), and 702 of the Social Security Act (Act), as amended, allow us to collect this information, which we will use to assign a Social Security number, issue a Social Security card, and make a timely determination concerning eligibility for Social Security benefits. Providing the information is voluntary, but not providing all or part of the information may prevent us from assisting you. As law permits, we may use and share the information you submit, including with other Federal agencies, contractors, and others, as outlined in the routine uses within System of Records Notices (SORN) 60-0058, 60-0090, 60-0103, and 60-0104, available at www.ssa.gov/privacy. The information you submit may also be used in computer matching programs to establish or verify eligibility for Federal benefit programs and to recoup debts under these programs. The Act also allows us to collect race and ethnicity information, which we will use for research and statistical purposes. Furnishing us this information is voluntary and will not be used in decisions about your application.

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

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

Document Specifics

Fact Name Description
Purpose The SSA SS-5 form is used to apply for a Social Security card, whether for the first time or for a replacement.
Eligibility Anyone can apply for a Social Security card, including U.S. citizens, non-citizens, and children.
Required Information Applicants must provide personal details such as name, date of birth, and place of birth.
Supporting Documents Identification documents are required, which may include a birth certificate, passport, or other government-issued ID.
Where to Submit The completed form can be submitted online, by mail, or in person at a local Social Security office.
Processing Time Typically, it takes about 10 to 14 days to receive your Social Security card after the application is processed.
State-Specific Forms Some states may have additional requirements for identification. Check local regulations for specifics.
Governing Laws The application process is governed by federal law under the Social Security Act.
Updates and Changes The SSA periodically updates the SS-5 form and its requirements, so it's essential to check for the latest version.

SSA SS-5: Usage Instruction

After obtaining the SSA SS-5 form, you will need to complete it accurately to ensure a smooth processing of your application. Gather the necessary information and documents before you begin. This will make the process more efficient and help avoid delays.

  1. Download the SSA SS-5 form from the Social Security Administration's website or obtain a physical copy from your local Social Security office.
  2. Begin with Section 1. Fill in your name as it appears on your birth certificate or legal documents. Make sure to include your full name, including any suffixes.
  3. In Section 2, provide your Social Security number if you have one. If you do not, leave this section blank.
  4. Complete Section 3 with your date of birth. Use the format MM/DD/YYYY.
  5. In Section 4, indicate your place of birth. This should include the city and state or foreign country.
  6. Section 5 requires you to provide your parents’ names. List both parents' full names, including any suffixes.
  7. Fill out Section 6 with your current mailing address. Include the street address, city, state, and ZIP code.
  8. In Section 7, provide your phone number. This is optional but can help with any follow-up questions.
  9. Section 8 asks for your gender. Check the appropriate box.
  10. Review Section 9, which is for any other names you have used. Include maiden names or aliases if applicable.
  11. Sign and date the form at the bottom. Ensure your signature matches the name provided at the top.
  12. Gather any required documentation that supports your application, such as proof of identity and citizenship.
  13. Submit the completed form and documentation to your local Social Security office or mail it to the address specified on the form.

Learn More on SSA SS-5

What is the SSA SS-5 form?

The SSA SS-5 form is an application for a Social Security card. It is used to apply for a new card, request a replacement card, or update information on an existing card. This form is essential for anyone who needs a Social Security number (SSN) or wants to correct their personal information with the Social Security Administration (SSA).

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

Anyone who needs a Social Security card must complete the SSA SS-5 form. This includes:

  • Individuals applying for their first SSN.
  • People who have lost their card and need a replacement.
  • Those who have changed their name or need to update other personal information.

How do I obtain the SSA SS-5 form?

You can get the SSA SS-5 form in several ways:

  1. Visit the official Social Security Administration website and download the form.
  2. Request a copy from your local SSA office.
  3. Call the SSA and ask for the form to be mailed to you.

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

The form requires basic personal information, including:

  • Your name.
  • Your date of birth.
  • Your place of birth.
  • Your parents' names and SSNs, if applicable.
  • Your current address.

Make sure all information is accurate 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 using the SSA SS-5 form. The application process is free, whether you are applying for a new card or requesting a replacement.

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

Typically, you can expect to receive your Social Security card within 10 to 14 business days after your application is processed. However, processing times may vary based on the volume of applications the SSA is handling at the time.

Where do I submit the SSA SS-5 form?

You can submit the SSA SS-5 form in person at your local Social Security office. Alternatively, you can mail it to the address listed on the form. If you choose to mail it, make sure to send it to the correct address to avoid delays.

Common mistakes

Filling out the SSA SS-5 form can be a straightforward process, but many people make mistakes that can delay their application for a Social Security number. One common error is providing incorrect personal information. For instance, a simple typo in your name or date of birth can lead to significant issues. Always double-check these details to ensure they match your official documents.

Another frequent mistake is not signing the form. The SSA SS-5 requires your signature to process your application. If you forget to sign, your application may be returned, causing unnecessary delays. Remember, your signature is essential for verifying your identity and confirming the information you provided.

Some applicants also overlook the importance of providing accurate citizenship information. It is crucial to indicate whether you are a U.S. citizen or a non-citizen. If you are a non-citizen, you must provide additional documentation to support your application. Failing to do so can lead to rejection of your request.

People sometimes make the mistake of not including all required documents. The SSA SS-5 form requires specific identification documents, such as a birth certificate or passport. Ensure you have all necessary paperwork ready when you submit your application. Missing documents can result in delays or denials.

Another common issue is using outdated forms. The Social Security Administration periodically updates its forms. If you use an old version of the SSA SS-5, it may not be accepted. Always check the SSA website to ensure you have the most current version of the form.

Lastly, applicants often forget to keep copies of their submitted forms. Keeping a copy for your records is essential. This way, you have proof of what you submitted and can refer back to it if needed. It also helps if there are any questions or issues with your application later on.

Documents used along the form

The SSA SS-5 form is essential for individuals applying for a Social Security number (SSN) in the United States. However, there are several other forms and documents that often accompany this application to ensure a smooth and efficient process. Below is a list of important documents that may be required or helpful when submitting the SSA SS-5 form.

  • Birth Certificate: A primary document that proves your date of birth and citizenship. It is often required to establish identity when applying for an SSN.
  • Passport: A valid U.S. passport can serve as proof of identity and citizenship. It is especially useful for individuals who may not have a birth certificate.
  • Driver's License: A state-issued driver's license can be used as a form of identification. It helps verify your identity when applying for an SSN.
  • Immigration Documents: For non-citizens, documents such as a Permanent Resident Card (Green Card) or work visa are necessary to demonstrate legal residency in the U.S.
  • Marriage Certificate: This document may be needed if your name has changed due to marriage and you are applying for an SSN under your married name.
  • Social Security Card: If you are applying for a replacement SSN card, providing your existing card can help expedite the process.
  • Form I-94: For individuals who are in the U.S. on a temporary basis, this form shows your arrival and departure record and is crucial for verifying your immigration status.
  • School Records: For minors or young adults, school records can serve as supporting documentation for age and identity verification.
  • Tax Documents: Previous tax returns or W-2 forms may be required for individuals who have previously held an SSN and are applying for a replacement.
  • Proof of Address: Documents such as utility bills or bank statements can help verify your current address, which may be necessary for the application process.

Gathering the right documents is crucial for a successful application for an SSN. Each document plays a role in verifying identity, age, and legal status, making the process smoother for applicants. Being prepared with the necessary paperwork can help avoid delays and ensure compliance with Social Security Administration requirements.

Similar forms

The SSA SS-5 form is similar to the birth certificate, which serves as an official record of a person's birth. Both documents establish identity and provide essential information, such as the individual's name, date of birth, and place of birth. A birth certificate is often required for obtaining a Social Security Number (SSN), just as the SS-5 form is used to apply for one. Each document plays a crucial role in verifying identity for various legal and administrative purposes.

Another document akin to the SSA SS-5 form is the passport application form. Like the SS-5, a passport application requires personal information, including full name, date of birth, and proof of citizenship. Both documents are necessary for establishing identity and citizenship status, allowing individuals to travel internationally or access government services. The passport serves as a widely recognized form of identification, similar to how the SSN is used in the United States.

The state-issued driver's license application is also comparable to the SSA SS-5 form. Both require applicants to provide personal information and proof of identity. A driver's license serves as a primary form of identification for many people, while the SSN is essential for tax purposes and accessing government benefits. Each document is important for everyday activities, from driving to securing employment.

The school enrollment form shares similarities with the SSA SS-5 form as well. When enrolling in school, students must provide personal information, including their name and date of birth. Schools often require proof of identity, just like the SS-5 requires documentation to verify an applicant's identity. Both forms help institutions maintain accurate records and ensure that students receive appropriate services.

The employment application is another document that resembles the SSA SS-5 form. When applying for a job, individuals must provide personal details, such as their name, address, and social security number. Employers use this information to verify a candidate's identity and eligibility to work. The SS-5 form facilitates the process of obtaining a social security number, which is often required for employment.

In addition, the Medicaid application form is similar to the SSA SS-5. Both documents require personal information and proof of identity. Medicaid applications often ask for an individual's SSN, which underscores the importance of the SS-5 in obtaining necessary health coverage. Each form plays a vital role in ensuring that individuals receive the benefits they need.

Lastly, the voter registration form can be compared to the SSA SS-5 form. When registering to vote, individuals must provide personal information, including their name, address, and date of birth. This information helps verify eligibility and maintain the integrity of the electoral process. The SS-5 form also helps establish identity, making it easier for individuals to participate in civic duties.

Dos and Don'ts

When filling out the SSA SS-5 form, it’s important to be careful and thorough. Here’s a list of things you should and shouldn’t do to ensure your application is processed smoothly.

  • Do read the instructions carefully before starting the form.
  • Do provide accurate and complete information.
  • Do use black or blue ink when filling out the form.
  • Do sign and date the form before submission.
  • Don't leave any required fields blank.
  • Don't use correction fluid or tape on the form.
  • Don't submit photocopies of the form; always send the original.
  • Don't forget to keep a copy of the completed form for your records.

Misconceptions

The SSA SS-5 form is an important document for obtaining a Social Security number. However, there are several misconceptions surrounding it that can lead to confusion. Here are six common misunderstandings about the SSA SS-5 form:

  1. It’s only for new applicants.

    Many believe the SSA SS-5 form is exclusively for those applying for a Social Security number for the first time. In reality, it is also used for individuals who need to replace a lost or stolen card or update their information.

  2. It can only be submitted in person.

    Some people think they must visit a Social Security office to submit the form. While in-person submission is an option, the SSA SS-5 can also be mailed in, making it more convenient for many applicants.

  3. Children cannot apply for a Social Security number.

    This is a common myth. In fact, children of all ages can have their own Social Security numbers, and parents can apply for them using the SSA SS-5 form.

  4. All information on the form is optional.

    Some individuals believe they can skip questions they find unnecessary. However, providing complete and accurate information is crucial for the processing of the application.

  5. Once you have a Social Security number, you never need to update it.

    This is misleading. Changes in marital status, name, or citizenship can require updates to your Social Security record, necessitating the use of the SSA SS-5 form.

  6. The SSA SS-5 form is only for U.S. citizens.

    Many think that only U.S. citizens can apply for a Social Security number using this form. However, certain non-citizens may also be eligible, depending on their immigration status.

Understanding these misconceptions can help ensure that you navigate the process of applying for or updating your Social Security number smoothly and effectively.

Key takeaways

The SSA SS-5 form is essential for obtaining a Social Security number. Here are some key takeaways to keep in mind when filling it out and using it:

  • Accurate Information is Crucial: Ensure that all personal details, such as name, date of birth, and place of birth, are filled out correctly. Mistakes can lead to delays in processing your application.
  • Documentation Requirements: Be prepared to provide necessary documents that prove your identity, age, and citizenship or legal residency. This may include a birth certificate or passport.
  • Submission Options: You can submit the completed form in person at your local Social Security office or send it by mail. Choose the method that is most convenient for you.
  • Keep a Copy: Always retain a copy of the completed SSA SS-5 form for your records. This can be helpful for future reference or if any issues arise during the application process.