We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • Independent Agency Forms
  • Independent Agency SSA Forms
  • Ssa Ss-5 2006

Get Ssa Ss-5 2006

16 YOUR SIGNATURE YOUR RELATIONSHIP TO THE PERSON IN ITEM 1 IS Self Natural Or Adoptive Parent Legal Guardian Other Specify DO NOT WRITE BELOW THIS LINE FOR SSA USE ONLY NPN PBC DOC EVI EVA EVC NTI CAN PRA EVIDENCE SUBMITTED NWR ITV DNR UNIT SIGNATURE AND TITLE OF EMPLOYEE S REVIEWING EVIDENCE AND/OR CONDUCTING INTERVIEW DCL Form SS-5 05-2006 ef 05-2006 Destroy Prior Editions Page 5. SOCIAL SECURITY ADMINISTRATION Application for a Social Security Card Form Approved OMB No* 0960-0066 First Full Middle Name Last NAME TO BE SHOWN ON CARD FULL NAME AT BIRTH IF OTHER THAN ABOVE OTHER NAMES USED Street Address Apt. No* PO Box Rural Route No* MAILING ADDRESS State City ZIP Code - Do Not Abbreviate Legal Alien Allowed To Work CITIZENSHIP SEX Male RACE/ETHNIC DESCRIPTION Asian Asian-American or Pacific Islander DATE OF Month Day Year BIRTH A. MOTHER S NAME AT HER BIRTH Allowed To Work See Instructions On Page 2 Other See Instructions On Page 2 PLACE U*S* Citizen Check One Check One Only - Volu....

This website is not affiliated with any governmental entity

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the SSA SS-5 online

Filling out the SSA SS-5 form online is a crucial step in applying for a Social Security card. This comprehensive guide will provide you with clear and detailed instructions to ensure that you complete the form accurately and efficiently.

Follow the steps to accurately fill out the SSA SS-5 form.

  1. Click ‘Get Form’ button to obtain the SSA SS-5 form and open it in an appropriate editing tool.
  2. Begin with section one, where you will enter your full name as it should appear on the card. This includes your first name, full middle name, and last name.
  3. If your name at birth differs from the above, provide that information in the specified area, along with any other names you have used.
  4. Next, fill out your mailing address, including the street address, apartment number if applicable, city, state, and ZIP code. Ensure there are no abbreviations.
  5. In section three, indicate your citizenship status. You must check the appropriate box that reflects whether you are a U.S. citizen, a legal alien allowed to work, or a legal alien not allowed to work.
  6. Move on to section four to select your sex by checking the appropriate box.
  7. Section five requires you to provide your race or ethnic description. Choose one of the available options.
  8. For section six, enter your date of birth using the format of month, day, and year.
  9. In section seven, provide your mother’s full name at her birth as well as her social security number in section eight if applicable.
  10. In section nine, fill in your father’s name and social security number, following the same instructions as for the mother.
  11. Section ten asks if you or anyone acting on your behalf has filed for or received a Social Security number previously. Select 'Yes', 'No', or 'Don't Know' as applicable.
  12. If you answered 'Yes', sections eleven to thirteen will ask for the previously assigned Social Security number, the name on the most recent card, and any different date of birth used previously.
  13. In section fourteen, enter today’s date using the month, day, and year format.
  14. Provide your daytime phone number in section fifteen, including the area code.
  15. Finally, in section sixteen, you will electronically sign the form to declare under penalty of perjury that the information provided is true and correct to the best of your knowledge.
  16. Specify your relationship to the person listed in item one in section seventeen.
  17. Once you have filled out all the sections, you can save your changes, download, print, or share the form as needed.

Take control of your applications and fill out your SSA SS-5 online today.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Related content

Application for Social Security Card
Form SS-5 (11-2019) UF. Discontinue Prior Editions. Page 1 of ... Religious record...
Learn more
Application for Social Security Card
You can also find your nearest office or Card Center in your local phone book. SOCIAL...
Learn more
Social Security number - Wikipedia
A Social Security number may be obtained by applying on Form SS-5, Application for a...
Learn more

Related links form

GA RCPS Parking Application Agreement & Release 2011 GA Redan High School Transcript Request Form GA Request for Assistance - DeKalb County GA Request to Disconnect Utility Services - Statesboro City

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

Numident stands for Numerical Identification, and is the Social Security Administration's computer database file on all who have applied for a Social Security number. ... Obtaining the Numident file gives you a computer printout of the relevant information contained on the Social Security card application.

If you need a temporary Social Security card for a job, a bank account, university, or any other reason, you may go to the local SSA office and request a temporary printout. ... To do this, you must submit an SS-5 application in person, via mail, or online in some cases, along with proper supporting documentation.

Can I Replace My Social Security Card the Same Day? The fastest way to replace your Social Security card is to request a new one online. You can also visit a local SSA office in your area.

If you mail any documents to us, you must include the Social Security number so that we can match them with the correct application. Do not write anything on the original documents. Please write the Social Security number on a separate sheet of paper and include it in the mailing envelope along with the documents.

You may submit your request using Form SSA-L996. Please submit your request with payment to: Social Security Administration (SSA), OEIO, FOIA Workgroup, 6100 Wabash Ave, P.O. Box 33022, Baltimore, MD 21290-3022. The fee for a copy of the SS-5 is $21.00. The fee for a copy of the Numident is $20.00.

You can find a copy of form SS-5 on the SSA website or by visiting your local Social Security office.

Page 2 of Form SS-5 FS provides the required evidence requirements for an original number, replacement social security card or for change of name or data change.

A Numident record is a computer extract of Form SS-5 and subsequent applications for replacement Social Security number (SSN) cards. A Numident record includes the following data elements: SSN. Name.

You can find a copy of form SS-5 on the SSA website or by visiting your local Social Security office.

You can make a request for a copy of a deceased person's original Application for a Social Security Card (SS-5) and/or Numident record (a computer extract of the SS-5) in two ways: Online: Submit your request via FOIAonline at https://foiaonline.gov/foiaonline/action/public/home.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get SSA SS-5
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
SSA SS-5
This form is available in several versions.
Select the version you need from the drop-down list below.
2021 SSA SS-5
Select form
  • 2021 SSA SS-5
  • 2019 SSA SS-5
  • 2011 SSA SS-5
  • 2009 SSA SS-5
  • 2006 SSA SS-5
  • 2003 SSA SS-5
Select form