Form HRG-83 "Ssn Maintenance Memorandum" - Texas

What Is Form HRG-83?

This is a legal form that was released by the Texas Health and Human Services - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2019;
  • The latest edition provided by the Texas Health and Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form HRG-83 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

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Download Form HRG-83 "Ssn Maintenance Memorandum" - Texas

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___________
SSN Maintenance Memorandum
Action needed for ___________.
We are not able to validate the social security number you provided HHSC with your
demographic information (name, date of birth and gender).
Please take this letter to the nearest Social Security Administration office along with
documents proving:
Identity (U.S. driver’s license, state-issued non-driver identification card, U.S. passport)
Date of birth (birth certificate, religious record made before age 5, U.S. hospital record
of birth or U.S. passport)
Citizenship or immigration status (U.S. birth certificate, U.S. passport, or current U.S.
immigration document
Name change or correction (marriage document, divorce decree, or court order
approving name change
For additional documents that can be used to prove identity, date of birth, citizenship or
immigration status, and name change or correction go to: www.ssa.gov/ssnumber/ss5doc.htm.
Social Security Administration staff will assist you in completing an application form to
correct or update your Social Security records and will provide you with a receipt showing that
they processed the application. Please provide them with the information on the back of this
form. You will need to provide this receipt by ________________ (60 days).
P.O. Box 13247 • Austin, Texas 78711-3247 • 512-424-6500 •
hhs.texas.gov
Form HRG-83, 03-2019-E
___________
SSN Maintenance Memorandum
Action needed for ___________.
We are not able to validate the social security number you provided HHSC with your
demographic information (name, date of birth and gender).
Please take this letter to the nearest Social Security Administration office along with
documents proving:
Identity (U.S. driver’s license, state-issued non-driver identification card, U.S. passport)
Date of birth (birth certificate, religious record made before age 5, U.S. hospital record
of birth or U.S. passport)
Citizenship or immigration status (U.S. birth certificate, U.S. passport, or current U.S.
immigration document
Name change or correction (marriage document, divorce decree, or court order
approving name change
For additional documents that can be used to prove identity, date of birth, citizenship or
immigration status, and name change or correction go to: www.ssa.gov/ssnumber/ss5doc.htm.
Social Security Administration staff will assist you in completing an application form to
correct or update your Social Security records and will provide you with a receipt showing that
they processed the application. Please provide them with the information on the back of this
form. You will need to provide this receipt by ________________ (60 days).
P.O. Box 13247 • Austin, Texas 78711-3247 • 512-424-6500 •
hhs.texas.gov
Form HRG-83, 03-2019-E
Form HRG-83
Page 2 / 03-2019-E
___________
To: The Social Security Administration
An attempt to verify the social security number of our client through the enumeration
verification system resulted in failure.
Please update Numident by assisting the client in completing a Form SS-5.
Name:
Date of Birth:
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