Form SS-5 Application for a Social Security Card

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form SS-5 for the current year.

Form SS-5 Application for a Social Security Card

What Is Form SS-5?

Form SS-5, Application for Social Security Card , is a legal document filled out to apply for a new or replacement Social Security card. This card is necessary for any individual who wants to find employment, go to the doctor, open a bank account, and receive various benefits. Whether your parents or legal guardians did not obtain a Social Security card for you or it was lost or mutilated, you may submit an application to get a new card.

Alternate Name:

  • Social Security Card Application

You should fill out Form SS-5 in the following circumstances:

  1. You need to obtain an original Social Security card.
  2. You have to replace your Social Security card.
  3. You want to correct or change the information in your Social Security records - for instance, you have changed your name after a marriage or divorce.

This form was released by the Social Security Administration (SSA) . The latest version of the form was issued on November 1, 2019 , with all previous editions obsolete. You can download a fillable SS-5 Application through the link below{class="scroll_to"}.

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Form SS-5 Instructions

Provide these details in the Form SS-5:

  1. State your full name. If your name at birth was different or you have ever used other names, indicate them in the provided space.
  2. If you were previously assigned a Social Security number, write it down.
  3. Add your place and date of birth.
  4. Check one box to specify your citizenship status - a citizen, legal alien allowed or not allowed to work, and other. Attach a document from a government agency that clarifies your need for a Social Security number and shows you comply with all the requirements for the government benefit.
  5. Indicate your ethnicity and race (the response is voluntary).
  6. Check the box to specify your sex.
  7. Provide information about your parents - their full names and social security numbers if known.
  8. If you have ever filed for or received a Social Security card before, answer "yes" and state your name and date of birth used on an earlier application or card.
  9. Date the form, enter your phone number and mailing address. Sign the form. If the form is completed by an individual different from the one identified in the application, check the box to explain your relationship to this person - you are their parent, legal guardian, or authorized representative.

The SSA requires evidence documents to confirm statements made in the application. These supporting documents are the most common - attach originals or their certified copies:

  • Evidence of identity . Submit a driver's license, non-driver identity card, or U.S. passport. As an alternative, attach a U.S. military identity card, medical or school records. They will demonstrate your legal name and furnish biographical details;
  • Evidence of age . Usually, a birth certificate is submitted, but the SSA will also accept hospital and religious records of your birth, adoption decree, or passport;
  • Evidence of citizenship . It is generally confirmed by the birth certificate or passport issued in the U.S.;
  • Evidence of immigration status . The Department of Homeland Security must provide you with a document that shows your immigration status.

Where to Mail Social Security Card Application?

You may submit or send the signed application to the SSA office or Social Security Card Center of your choice - most people choose the nearest office that serves their area. It is recommended to fill out the SS-5 Form and bring it to an office. Since you have to attach various supporting documentation to prove your identity, age, citizenship, and immigration status when mailing the application, it is best to simply present all these documents in the office and get them back immediately.

Download Form SS-5 Application for a Social Security Card

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