Fillable Application For A Social Security Card (Page 2 of 5) in pdf

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 (08-2011) ef (08-2011)

Page 2

Application For A Social Security Card Page 2

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