Download social security card application

Vocational Rehabilitation Provider Claim. Continuing Disability Review Report. Request for Withdrawal of Application. Plan for Achieving Self-Support. Request for Reconsideration. Certificate of Incapacity. Request for Waiver of Overpayment Recovery. Request for Change in Overpayment Recovery Rate. Railroad Employment Questionnaire. You can make your payment by Credit Card. Statement of Death by Funeral Director. Statement Regarding Marriage.

Statement of Marital Relationship. Certificate of Responsibility for Welfare and Care of Child. Statement Regarding Contributions. Statement of Care and Responsibility for Beneficiary. Request for Reconsideration - Disability Cessation. Statement of Claimant or Other Persons.

Work Activity Report. Instructions for Completing the SSA Instrucciones para completar el formulario SSA Advanced Notice of Termination of Child's Benefits. Student Reporting Form. Credit Card Payment Form. Certification By Religious Group. Request for Business Entity Taxpayer Information. Claimant's Appointment of Representative. Claimant's Revocation of the Appointment of a Representative.

Representative's Withdrawal of Acceptance of Appointment. Claim for Amounts due in case of a Deceased Beneficiary. Child Relationship Statement. Statement of Funds you Received. Employee Work Activity Questionnaire.

Important information about your appeal, waiver rights, and repayment options. Consent for Release of Information. Certificate of Natura lizatio n, employ ee identity card, certified copy of medical rec ord clinic, doctor or hospital ,. F or y oung children, w e may acc ept medical. We may also ac cept a final adoption. In general, y ou must pr ovide y our U. Pass port. Other documents y ou may prov ide are a. If y ou are an international student or. If y ou are not authoriz ed to w ork in the U.

Security card only if y ou need the number for a v alid non-w ork reason. Y our c ard w ill be marked to s how y ou. See page 3, item 5 for more information. The numbers match the. If y ou are completing t his form for some o ne else, ple ase complete the. Federal, S tate, or local government a g ency that explains w hy y ou need a Social Sec urity number.

NOTE: Most agencies do not require. Contact u s to see if y our reason qualifies fo r a Social Security. Providing race and ethnicity informati on is voluntary and is requested for informa tional and. You r choice w hether to answ er or not does not aff e ct decision s w e make on. If y ou do p rovide this in formation, w e w ill treat it very carefully. If t he dat e of b irt h y ou show in item 4 is diff e rent fro m the dat e of birth currently show n on y our.

Social Security record, show the date of birth c urrently show n on y our record in item 13 a nd provide. Show an address w here y o u can receive y our card 7 to 14 day s from now. If y ou are age 18 or older and are phy sic ally and mental ly. If y ou a r e under age 18,. I f y ou are over age 18 and. Ple ase do not alter y our signature by including additional in fo rmation on t h e. Call us if y ou have questions about w ho may sign. In most cases, y ou can take or mail t his signed application w ith y ou r documen ts to any Social Security.

An y doc uments y ou mail to us w ill be returned to y ou. Go to. Center that serves y our area. Form SS-5 ef Protect y our SSN c ard and number from loss and identity theft. Keep it in a secure location and only take it wit h y ou when y ou m ust show the card; e. Use c aution in gi ving. Sectio ns c an d o f the Socia l Secu rity Act, as ame nded, aut hori ze u s to c olle ct th is.

Th e informa tion y ou prov id e w i ll be use d to assig n you a So cial Se curi ty nu mber and. The info rmation y o u fur nish on t his form is vo lunt ary. How ev er, failure to prov id e the req ueste d. We ra rely use the inform ation y o u su pply for any purpo se ot her than for issuin g a So cial Secu rity. H ow e ver , w e may use i t for t he a dminis tratio n an d in tegrit y o f Socia l Sec urity.

We ma y a lso disclo se in format ion to an othe r pers on or to anoth er ag enc y in ac corda nce. To ena ble a third part y or an a genc y to as sist So cial Securit y i n est ablish ing right s to. To comp ly with Fed eral laws requ iring the r eleas e of infor matio n from Socia l Secu rity. All you need to do is log in to or create your personal my Social Security account. Requesting a replacement card online is available in most states.

We are continuously working to make this service available to additional states. Virgin Islands. You can use a my Social Security account to apply for a replacement Social Security card online if you:. Already have a my Social Security account? Don't have a my Social Security account?