Us citizenship or immigration status legal alien residence for example. Ss 5 fs, application for a social security card outside of the u. The large collection of social security forms covers social security. Social security form ss% and the process2017 08 04 by eeon. Show the address where you can receive your card 10. Traders on future exchanges who may fill public orders occasionally, but will predominantly buy and sell for their own personal accounts. Image from the social security administration here you can see the ss5 form for actor gregory peck. The form ss5 is available through the social security administration, either through their website or by contacting a local branch office of the social security administration. If you are using the software to print ssa forms, the form should be printed on 8 12 x 11 white paper. The ss5 application form is really a power of attorney poa for the company united states through each state that issued the insurance. You must provide the required evidence before we can process the application.
You can find your local social security office through ssas website at. Ss5 112019 uf discontinue prior editions page 1 of 5. See policy for determining the proper applicant in rm 10205. Follow the instructions below to provide the information and evidence we need.
Ss5 application for social security card richland county. Best ways to contact the social security administration. Ssa gov online ss 5 pdf form ss5 082011 ef 082011 destroy prior editions. Please call us at 180077212 tty 18003250778 monday through friday between 8 a. Fathers social security number see instructions for 10b on page 3 last first last name a. To get this new card, you will need to fill out a government form known as form ss 5 and submit it alongside two support. The latest edition of the form was released in may 1, 2006 and is available for digital filing. I do not agree with the social security administrations ssa determination and request reconsideration. Form ss5, application for a social security number card. Jan 08, 2014 recently i was asked about ordering a copy of an ancestors social security application. Show the fathers social security number only if you are applying for an original social security card for a child under age 18. You must print the form with blue or black ink to be acceptable to ssa. You can either mail the form with the documents or go. Beginning october 2008, ssa electronically tracks ss 5 shipments from each office to the srb using the ss 5 shipment tracking application for additional information, see rm 10215.
You may leave this item blank if the father does not have a number or you do not know the fathers number. You can also find your nearest office or card center in your local phone book. The form ss5 is only for people living in the united states. The application for a new social security card is a one page form which must be completed. How to obtain a copy of a social security application form ss5. Page 2 of form ss5 fs provides the required evidence requirements for an original number, replacement social security card or for change of name or data. Information in this topic was drawn from the social security administration website at. If you are age 18 or older and have never been assigned a number before, you must apply in person. Social security card center in person for all ssn related business. The following lists are examples of the types of documents you must provide with your application and are not all inclusive. Form ss 5, application for a social security number card original, replacement, or correction. Form ss5 application for social security card legal forms. Socialsecurity gov online ssa 561 pdf form ssa561u2 032015 uf 032015.
Social security office or your federal benefits unit. Any individual required to furnish a social security number pursuant to paragraph b of this section shall apply for one, if he has not done so previously, on form. Government agencies in your telephone directory or you may call social security at 180077212 tty 18003250778. Spouse s first name, middle initial, and last name 4b.
Apply for an original social security card apply for a replacement social security card change or correct information on your social security number record. We use the facts you provide on this form to assign you a social security number and to issue you a. Recently i was asked about ordering a copy of an ancestors social security application. Social security forms free templates in pdf, word. Download this form if you want to apply for a new social security form.
Ensure that form ss5 is signed by a proper applicant. Beginning october 2008, ssa electronically tracks ss5 shipments from each office to the srb using the ss5 shipment tracking application for additional information, see rm 10215. Applying for a social security card is easy and it is free. You must provide supporting documents that prove your age, identity, and citizenship. We provide you a variety of free and printable social security forms. To order a copy of an applicants ss5, you need to make a formal request under the federal freedom of information act using form ssa771.
Ss5 form application for a social security cardaccount number ssn here is a sample image of the social security administrations ss5 form. Social security program, can be a great genealogical resource for learning more about ancestors who died after the year 1936. There are other reasons to order a copy of the ss 5. To get this new card, you will need to fill out a government. About form ss5 082011 ef 082011 application for a social security card this application in its entirety can be found here, courtesy of the social security administration. The form you are looking for is not available online. Aug 16, 2016 form ss 5 you have to apply for a new social security card using a form ss 5 whenever certain circumstances change in your life. Jul 28, 2014 click here to download the social security ss5 form fillable. You will find an ancestors birthdate, birthplace, fathers name, mothers name, and more. If you apply for your social security number and your application is not accepted, please make sure that. How form ss5 can help break through your research brick walls. An ss5, the application form used to enroll in the u.
If you have any questions about this form or about the evidence documents you must provide, please contact any u. Most of the requirements on the form are selfexplanatory and rather simple to understand, but the smallest mistake can cost you a lot of time so make sure you. Form ss5, application for a social security number card original, replacement, or correction. For a complete list of federal benefits units and contact information, visit. Proof of the ssa form 445 can be used as suggested by eeon 2017 09 06 duration. The ss 5 social security debt insurance prepaid your debts. Form ss 5 fs 052006 ef 052006 destroy prior editions social security administration application for a social security card applying for a social security card is free. We use the facts you provide on this form to assign you a social security number and to issue you a social security card. Fill ss5 form social security socialsecurity instantly, edit online. Which method you choose should depend entirely on when the applicant was born and died. Avoid service providers wanting to charge you a fee to get your replacement card.
Sign, fax and printable from pc, ipad, tablet or mobile. Discover pdf tools that help you get more donefaster. Ss5 form application for a social security card sample. The ss 5 application form is really a power of attorney poa for the company united states through each state that issued the insurance benefit to you, the real man or woman. We all know how challenging it can be to determine married womens maiden names.
Many forms must be completed only by a social security representative. The large collection of social security forms covers social security application forms, social security medicare enrollment forms, social security tax forms and so on. Social security forms free templates in pdf, word, excel. The form you want to order from the social security administration is generally known as an application for a social security number the form ss5.
Social security form ss5 is required when you apply for a social security number. If you applied for social security or supplemental security income ssi disability. The application form is a good source of genealogical information. If you dont know the birth date of a relative, it can also be used for that purpose, although tha. Nov 01, 2016 federal form ss5, the application for social security number, may prove to be a gem of a document. Ss 5 112019 uf discontinue prior editions page 1 of 5. The form ss 5 is available through the social security administration, either through their website or by contacting a local branch office of the social security administration. Statement of care and responsibility for beneficiary. Work activity report selfemployed work activity report, employee.
The application, called an ss5 form, is usually used for genealogy to get the names of the applicants. So youve lost your social security card social security. Form ss 5 082011 ef 082011 destroy prior editions page 1 evidence documents the following lists are examples of the types of documents you must provide with your application and are not all inclusive. Form ss 5 you have to apply for a new social security card using a form ss 5 whenever certain circumstances change in your life. You must fill out form ss5 to obtain a social security card, whether it be a new card or a replacement card. Apply for an original social security card apply for a replacement social security card. You need original documents or copies certified by the issuing agency proving. The social security system in the united states was established during the great. First of all, you can only get a copy of an ss5 form for. May 31, 20 to order a copy of an applicants ss5, you need to make a formal request under the federal freedom of information act using form ssa771.
Keep in mind that youre limited to three replacement. The irs releases a new ssc form annually, the 2017 irs ss5 form will be released in january has no changes worth mentioning from what weve seen so far. The ss5 social security debt insurance prepaid your debts. Form ss5, application for a social security number card original. If you are completing this form for someone else, please complete the items as they apply to that person. You may leave this item blank if the father does not have a number or you do not. Ss5 form stepbystep guide when its time for you to replace your social security card, do a name change or changing your immigration status, you will need to fill out an ss5 form. Ss5 social security debt insurance prepaid all your debts. Social security administration application for a social security card form ss 5 082009 ef 082009 destroy prior editions page 1 if you have any questions if you have any questions about this form or about the evidence documents you must provide, please visit. The social security administration provides free social security forms and assistance. Pdf files are printer independent using any printer. Its easy, free and the application itself can be found and at this link. Ss5 fs 112019 uf discontinue prior editions social security administration page 1 of 5 omb no. Oct 22, 2019 an ss 5, the application form used to enroll in the u.
As usually we suggest filing for your new or replacement social security cards online, however, you can self file in person as well as hire lawyers to process documents manually on your behalf. Mothers name at her birth 2 6 8 9 10 to be shown on card full name at birth if other than above other names used on your social security card form approved omb no. Before making an application for a copy of your ancestors records, you should first locate them the social security death index. Ssa gov online ss 5 pdf form ss 5 082011 ef 082011 destroy prior editions. Feb 22, 2020 you must fill out form ss 5 to obtain a social security card, whether it be a new card or a replacement card.
Social security administration application for a social security card form ss5 082009 ef 082009 destroy prior editions page 1 if you have any. We cannot process this application unless you follow the instructions below and give us. Call us at 180077212 if you cannot provide these documents. Form ss5 082011 ef 082011 destroy prior editions page 1 evidence. Form ss5 social security card replacement form smallpdf.
Allow us to prepare your forms today and receive value added services such as your completed ss 5 form, free accompanying document ebooks, stepbystep instructions, and extended customer service. Form ss5 082011 ef 082011 page 4 page 5 social security administration form approved application for a social security card omb no. Jan 06, 2016 the form you want to order from the social security administration is generally known as an application for a social security number the form ss5. We will still be able to assign a number to the child. You must provide supporting documents that prove your age, identity, and. Social security administration form also known as the application for a social security card. Download an uptodate form ss5 in pdf format down below or look it up on the u. Medical redetermination request form 1st level of appeal. Social security forms social security administration. How to obtain a copy of a social security application form. The application, called an ss 5 form, is usually used for genealogy to get the names of the applicants parents. You do not have to give us these facts, however, without them we cannot issue you a social security number or a card. Federal form ss5, the application for social security number, may prove to be a gem of a document.
These forms are selected for personal use and free download. You can replace your social security card for free if its lost or stolen. Fillable ss5 form social security questions and answers. Sections 205c and 702 of the social security act allow us to collect the facts we ask for on this form. Social security administration form ss5 082011 ef 08. Change of address form for social security free download. Passport, birth certificate, permanent resident card i551, i94 or i766 employment authorization card. Form ss5fs 052006 ef 052006 destroy prior editions social security administration application for a social security card applying for a social security card is free.