Get Social Security Number Affidavit For Licensure

The Social Security Number Affidavit for Licensure is a crucial form required for individuals seeking licensure within regulated occupations. This guide provides step-by-step instructions on how to complete the form online, ensuring you have all necessary information ready.

Follow the steps to successfully fill out the form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your first name, middle name, and last name in the designated fields. Ensure that the names match the identification documents you will use.
3. Next, provide your telephone number where you can be reached. This may be necessary for any follow-up communications regarding your application.
4. Input your date of birth in the format MM/DD/YYYY to validate your identity.
5. If applicable, enter your 10-digit Michigan permanent ID or license number in the provided space.
6. Include your email address to facilitate electronic communication regarding your application status.
7. In the section for the social security number, enter your social security number clearly. If you do not have one, indicate this and complete the attestation below.
8. If you don't have a social security number, provide a written statement detailing the reason and affirm your certification.
9. Finally, sign the document and enter the date of signature at the bottom of the form.
10. After reviewing all entries for accuracy, you can save your changes, download the completed form, print it for physical submission, or share it with necessary parties.

Complete your Social Security Number Affidavit for Licensure online today!