Social Security Card Application Form (SS-5)

Download Social Security Card Application Form (SS-5) PDF using the direct download link.

Social Security Card Application Form (SS-5) PDF

PDF NameSocial Security Card Application Form (SS-5)
Published/Updated On
Category
Primary RegionUnited States
No. of Pages5
PDF Size0.14 MB
LanguageEnglish
Source(s) / Creditswww.ssa.gov

Download PDF of Social Security Card Application Form (SS-5) from www.ssa.gov using the direct download link given at the bottom of this article.

Social Security Card Application Form (SS-5) PDF - Overview

Social Security Card application form PDF can be downloaded from the official website of ssa.gov.in in case you wish to apply for a new card. The form, also known as SS-5 form can be used for the following purposes.

  • An original Social Security card.
  • A duplicate Social Security card (same name and number)
  • A corrected Social Security card (name change and same number)
  • A change of information on your record other than your name (no card needed)

Document Required for Social Security Card Application Form

To apply for an original card (you have NEVER been assigned a Social Security number before), we need at least 2 documents as proof of:

  1. Age
  2. Identity, and
  3. U.S. citizenship or lawful alien status.

To apply for a duplicate social security card (same number, same name), proof of identity is required.
To apply for a corrected social security card (same number, different name), proof of identity is required. One or more documents which identify you by the OLD NAME on our records and your NEW NAME is also required.

Examples include: a marriage certificate, divorce decree, or a court order that changes your name. Or we can accept two identity documents – one in your old name and one in your new name. (See IDENTITY, for examples of identity documents.)

IMPORTANT: If you are applying for a duplicate or corrected card and were born outside the U.S., we also need proof of U.S. citizenship or lawful alien status. (See U.S. CITIZENSHIP or ALIEN STATUS for examples of documents you can submit.)

AGE: Your birth certificate is preferred. However, another document that shows your age can also be accepted. Some of the other documents which can be accepted are:
– Hospital record of your birth (created at the time of your birth)
– Religious record showing your age made before you were 3 months old
– Passport
– Adoption record (the adoption record must indicate that the birth data was taken from the original birth certificate)

Send Completed Social Security Application Form to Local Office

The office is listed under U.S. Government agencies in your telephone directory or you may call Social Security at 1-800-772-1213.
In most cases, you can take or mail this signed application with your documents to any Social Security office. Any documents you mail to the office 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.

For more information please visit the official social security website at ssa.gov.

Download Social Security Card Application Form (SS-5) PDF from www.ssa.gov using the direct download link given below.

Social Security Card Application Form (SS-5) PDF Download Link

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