Outline
The SSA SS-5 form plays a crucial role in the process of obtaining a Social Security number, which is essential for various aspects of life in the United States. This form is primarily used by individuals applying for a new Social Security number, whether they are U.S. citizens, permanent residents, or non-citizens. Completing the SS-5 requires providing personal information, such as your name, date of birth, and place of birth. Additionally, applicants must indicate their citizenship status and provide proof of identity. The form is straightforward, but it’s important to ensure that all information is accurate and complete to avoid delays. Understanding the requirements and the implications of the SS-5 can help individuals navigate the application process more smoothly, making it easier to access benefits and services that rely on having a Social Security number.
Sample - SSA SS-5 Form
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Social Security Administration |
OMB No. |
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
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,
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,
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,
LIMITS ON REPLACEMENT SOCIAL SECURITY CARDS
Public Law
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
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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
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.
●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
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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
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.
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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)
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
Form Information
| Fact Name | Details |
|---|---|
| Purpose | The SSA SS-5 form is used to apply for a Social Security card, which is necessary for obtaining benefits and employment in the United States. |
| Eligibility | Any U.S. citizen, permanent resident, or eligible non-citizen can apply for a Social Security card using the SS-5 form. |
| Required Information | The form requires personal information such as name, date of birth, place of birth, and parents' names. |
| Submission Process | The completed SS-5 form can be submitted in person at a local Social Security office or mailed to the appropriate office. |
| Governing Law | The use of the SSA SS-5 form is governed by federal law under the Social Security Act (42 U.S.C. § 401 et seq.). |
Detailed Guide for Filling Out SSA SS-5
Completing the SSA SS-5 form is an important step in applying for a Social Security number. Once you have filled out the form, you will need to submit it to the Social Security Administration along with any required documentation.
- Obtain the SSA SS-5 form. You can download it from the Social Security Administration's website or request a paper form at your local office.
- Begin with your personal information. Fill in your full name, including your first, middle, and last names.
- Provide your Social Security number if you have one. If you are applying for the first time, leave this section blank.
- Enter your date of birth. Make sure to format it correctly, using month, day, and year.
- Indicate your place of birth. Include the city and state, or the country if born outside the U.S.
- Fill in your parents' information. Include their names, Social Security numbers (if known), and dates of birth.
- Answer the questions regarding your citizenship status. Indicate whether you are a U.S. citizen, a lawful permanent resident, or a non-citizen.
- Provide your current address. Include the street address, city, state, and ZIP code.
- List any previous names you have used, if applicable. This could include maiden names or aliases.
- Sign and date the form. Make sure to sign in the designated area, affirming that the information you provided is true and correct.
Once the form is complete, gather any necessary documents, such as proof of identity and citizenship. Then, submit your application to the Social Security Administration either by mail or in person at your local office.
Obtain Answers on SSA SS-5
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What is the SSA SS-5 form?
The SSA SS-5 form is an application for a Social Security card. It is used by individuals who are applying for a new card, requesting a replacement card, or updating their personal information. This form is essential for obtaining a Social Security number, which is necessary for various purposes, including employment, tax reporting, and accessing government services.
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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 Social Security number.
- People who have lost their Social Security card and need a replacement.
- Those who have changed their name due to marriage, divorce, or other reasons and need to update their information.
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How do I obtain the SSA SS-5 form?
The SSA SS-5 form can be easily obtained online through the Social Security Administration's website. Alternatively, you can visit your local Social Security office to pick up a physical copy. It’s also possible to request the form by phone if you prefer to receive it by mail.
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What information do I need to provide on the form?
When filling out the SSA SS-5 form, you will need to provide several key pieces of information, including:
- Your full name.
- Your date of birth.
- Your place of birth.
- Your parents' names and Social Security numbers, if applicable.
- Your current address and phone number.
- Your immigration status, if you are not a U.S. citizen.
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Is there a fee for applying for a Social Security card?
No, there is no fee for applying for a Social Security card. The process is free of charge, whether you are applying for a new card or requesting a replacement. However, if you need to provide documents to prove your identity or citizenship, you may incur costs associated with obtaining those documents.
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How long does it take to receive my Social Security card after submitting the 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 received or if additional documentation is required.
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What should I do if I make a mistake on the SSA SS-5 form?
If you realize that you made a mistake on your SSA SS-5 form after submitting it, do not worry. You can correct the error by contacting your local Social Security office. They will guide you through the process of making the necessary corrections. It’s important to address any mistakes promptly to avoid delays in receiving your Social Security card.
Common mistakes
Filling out the SSA SS-5 form, which is used to apply for a Social Security card, can seem straightforward. However, many people encounter pitfalls that can delay their application or even lead to rejection. Understanding these common mistakes can help ensure a smoother process.
One frequent error is providing incorrect personal information. This includes misspelling names or entering the wrong date of birth. Such inaccuracies can lead to complications in verifying identity, which is crucial for the Social Security Administration (SSA). Always double-check the spelling and dates before submitting.
Another mistake involves neglecting to sign the application. The SSA requires a signature to validate the form. Without it, the application will not be processed. It’s a simple step, yet it can easily be overlooked in the rush to submit the form.
Many applicants also fail to provide sufficient identification. The SSA requires specific documents to prove identity, citizenship, or immigration status. Submitting the wrong documents or not including any at all can lead to delays. Ensure that you include the necessary identification to avoid this issue.
In addition, some people forget to check the eligibility requirements before applying. Not everyone qualifies for a Social Security card, and applying without meeting these criteria can waste time. Familiarizing yourself with the requirements can save you from unnecessary frustration.
Another common oversight is leaving sections of the form blank. Every question on the SSA SS-5 form must be answered, even if it means writing “N/A” for non-applicable questions. Incomplete forms can lead to processing delays or outright rejection.
It’s also important to consider the format of the information provided. For example, using inconsistent formats for dates or addresses can confuse the SSA. Stick to a standard format throughout the application to maintain clarity.
Some applicants may underestimate the importance of providing accurate contact information. If the SSA needs to reach you for any reason, having the wrong phone number or address can complicate matters. Always ensure that your contact details are current and correct.
Lastly, many individuals do not keep a copy of their submitted application. This can create problems if there are questions or issues later on. Keeping a record of what was submitted can be invaluable for tracking the progress of your application.
By being aware of these common mistakes, applicants can navigate the SSA SS-5 form more effectively. Attention to detail and thoroughness can lead to a successful application and a timely receipt of your Social Security card.
Documents used along the form
The SSA SS-5 form is essential for applying for a Social Security number. However, several other forms and documents may be required to support your application or to address related matters. Below is a list of commonly used forms and documents that often accompany the SSA SS-5 form.
- Proof of Identity: Documents such as a driver's license, state ID, or passport that verify your identity.
- Birth Certificate: A certified copy of your birth certificate establishes your date of birth and citizenship status.
- Immigration Documents: For non-citizens, documents like a permanent resident card or visa may be necessary to prove legal status.
- Marriage Certificate: If you are applying under a spouse's Social Security number, this document verifies your marital status.
- Divorce Decree: This may be needed to show name changes or to establish eligibility for benefits based on a former spouse's record.
- Social Security Card Application: If you are applying for a replacement card, this form is required in addition to the SS-5.
- W-2 Forms: These documents provide proof of employment and income, which may be relevant for certain benefits.
- Tax Returns: Recent tax returns can help establish income levels and support claims for benefits.
- Medical Records: For disability claims, medical documentation may be necessary to support your application.
Gathering these documents ahead of time can help streamline the application process and ensure that you meet all requirements. Being prepared will make it easier to navigate the complexities of obtaining a Social Security number and related benefits.
Similar forms
The SSA SS-5 form is a key document used to apply for a Social Security number. Several other documents serve similar purposes in terms of identity verification or application processes. Here’s a list of eight documents that share similarities with the SSA SS-5 form:
- Form I-9: This document is used by employers to verify the identity and employment authorization of individuals hired for employment in the United States.
- Passport Application (Form DS-11): Like the SSA SS-5, this form requires proof of identity and citizenship when applying for a U.S. passport.
- Driver’s License Application: This document is necessary for obtaining a state-issued driver’s license, which also involves providing personal information and proof of identity.
- Voter Registration Form: Similar to the SSA SS-5, this form requires personal information to verify identity when registering to vote.
- Medicare Application (Form CMS-10106): This form is used to apply for Medicare benefits, requiring personal identification details akin to those on the SSA SS-5.
- State Identification Card Application: This document is used to obtain a state ID, which also necessitates proof of identity and residency.
- Green Card Application (Form I-485): When applying for permanent residency, this form requires extensive personal information and documentation for identity verification.
- Birth Certificate Application: This form is used to request a certified copy of a birth certificate, requiring identification and proof of relationship to the individual whose birth is being certified.
Each of these documents plays a crucial role in establishing identity and eligibility for various services or benefits, much like the SSA SS-5 form does for obtaining a Social Security number.
Dos and Don'ts
When filling out the SSA SS-5 form, there are specific practices to follow to ensure accuracy and efficiency. Below is a list of things to do and avoid during the process.
Things You Should Do:
- Read the instructions carefully before beginning the form.
- Provide accurate and complete information in all required fields.
- Use black or blue ink to fill out the form.
- Double-check your entries for any mistakes before submitting.
- Sign and date the form in the appropriate sections.
- Keep a copy of the completed form for your records.
Things You Shouldn't Do:
- Do not leave any required fields blank.
- Avoid using pencil or colored ink when filling out the form.
- Do not provide false information or misrepresent any details.
- Refrain from submitting the form without a signature.
- Do not forget to check for any additional documentation required.
- Do not rush through the form; take your time to ensure accuracy.
Misconceptions
The SSA SS-5 form is an important document for obtaining a Social Security number. However, several misconceptions about this form can lead to confusion. Below is a list of common misunderstandings regarding the SSA SS-5 form, along with clarifications to help you navigate the process more smoothly.
- Only U.S. citizens can apply for a Social Security number. Many people believe that only citizens are eligible. In reality, non-citizens, including lawful permanent residents and certain visa holders, can also apply.
- You must be of a certain age to apply. There is a misconception that applicants must be at least 18 years old. In fact, there is no minimum age; even infants can be assigned a Social Security number.
- The SSA SS-5 form is only for new applicants. Some think this form is only for those who have never had a Social Security number. However, it can also be used to replace a lost or stolen card or to change personal information.
- Filling out the form is complicated. Many individuals worry about the complexity of the SSA SS-5 form. The truth is, the form is straightforward and designed to be user-friendly, with clear instructions provided.
- You need to provide extensive documentation. Some believe that a long list of documents is necessary. While certain documents are required, the list is manageable and typically includes proof of identity and age.
- Submitting the form online is not an option. There is a misconception that the SSA SS-5 form can only be submitted in person. In fact, you can apply online in many cases, making the process more convenient.
- The processing time is always lengthy. Many assume that it takes a long time to receive a Social Security number. While processing times can vary, many applicants receive their numbers within a few weeks.
- Once you receive your number, you never need to update it. Some individuals think that their Social Security number is set in stone. However, changes in personal circumstances, such as a name change, may require an update.
- You cannot apply for a Social Security number if you are not working. There is a belief that employment is a prerequisite for obtaining a Social Security number. This is incorrect; anyone who meets the eligibility criteria can apply, regardless of employment status.
Understanding these misconceptions can help you approach the SSA SS-5 form with confidence. If you have further questions, consider reaching out to the Social Security Administration for assistance.
Key takeaways
When filling out and using the SSA SS-5 form, it is essential to keep several key points in mind. Below are important takeaways to ensure a smooth application process for a Social Security card.
- Understand that the SSA SS-5 form is used to apply for a new Social Security card, a replacement card, or to update your personal information.
- Gather necessary documents before starting. You will need proof of identity, age, and citizenship or lawful immigration status.
- Fill out the form completely and accurately. Incomplete or incorrect information can lead to delays.
- Provide your Social Security number if you have one. If you do not, leave that section blank.
- Submit the form either online, by mail, or in person at your local Social Security office, depending on your situation.
- Keep a copy of the completed form and any documents you send. This will help if you need to follow up on your application.
- Be aware that it may take several weeks to receive your new or replacement Social Security card, so plan accordingly.