Social Security Administration Application For A Social Security Card printable pdf download

SOCIAL SECURITY ADMINISTRATION

Application for a Social Security Card

Applying for a Social Security Card is easy AND it is FREE!

If you DO NOT follow these instructions, we CANNOT process your application!

STEP 1

Complete and sign the application with

BLUE

or BLACK ink.

Do NOT use pencil! Follow instructions below.

STEP 2

See Page 2 to determine what evidence we need.

STEP 3

Submit the application and evidence to any Social Security office. Follow instructions

below.

HOW TO COMPLETE THE APPLICATION

Most items on the form are self-explanatory. Those that need explanation 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.

2. Show an address where you can receive the card 10 to 14 days from now.

3. If you check “other” for CITIZENSHIP, provide a document from the Federal/State or local

agency explaining why you need a Social Security number and that you meet all the

requirements for the benefit or service except for a number.

5. You do not have to complete this item about race/ethnic background. We use this

information for statistical reports on how Social Security programs affect people. We do not

reveal the identities of individuals.

6. Show the month, day, and full (4-digit) year of birth, for example, “1998” for year of birth.

8. You must enter the mother’s Social Security number in item 8B. if you are applying for a

number for a child under age 18.

9. You must enter the father’s Social Security number in item 9B. if you are applying for a

number for a child under age 18.

13. If the date of birth you show in item 6 is different from the date of birth you used on a prior

application for a Social Security number card, show the date of birth you used on the prior

application and submit evidence of age to support the date of birth in item 6.

16. You must sign the application if you are age 18 or older and are physically and mentally

capable. If you are under age 18, you may also sign the application if you are physically

and mentally capable. 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. If you are physically or

mentally incapable, generally a parent, close relative, or legal guardian may sign the

application. Call us if you need clarification about who can sign.

HOW TO SUBMIT THE APPLICATION

Mail the form and your evidence documents to the nearest Social Security office. We will return your

documents to you. If you do not want to mail your original documents, take them to the nearest Social

Security office with this application.

If you are age 18 or older and have never been assigned a number before, you must apply in

person.

Form SS-5 Internet (2-98) Destroy Prior Editions

Page 1

Social Security Administration Application For A Social Security Card

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