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Get Ssa L996
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How to fill out the Ssa L996 online
The Ssa L996 form is a vital document used to request an extract or photocopy of your Social Security number record. This guide will walk you through the steps of completing the form accurately and efficiently online.
Follow the steps to complete the Ssa L996 form.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- In the first section, provide your Social Security Number, if known, and your full name. Ensure you input your full name exactly as it appears on any legal identification.
- If your name shown on your last Social Security card differs from your current name, indicate this information in the appropriate field.
- Enter your full name at birth, which is necessary for identity verification.
- Fill in your date of birth in the format of MM/DD/YYYY and select your gender by marking the appropriate box.
- Provide the place of your birth, including the city, county, and state or foreign country, to assist in confirming your identity.
- Supply the full maiden name of your mother and the full name of your father, regardless of whether they are living or deceased, as required information.
- Read the penalty statement carefully. Acknowledge your understanding by signing the form in ink. This signature must be your usual signature.
- Complete your address details, including street address, city, state, and ZIP code to ensure the form can be processed and returned to you.
- If you are using a printed signature or signing by mark (X), ensure that it is witnessed by two adults who will also provide their signatures and address.
- Finally, review all information for accuracy, then save your changes, download, print, or share the completed form as necessary.
Complete your Ssa L996 form online today for efficient processing.
If you applied for Social Security or Supplemental Security Income (SSI) disability benefits and were denied for medical reasons, you may request an appeal online. If you do not wish to appeal a medical decision online, you can use the Form SSA-561, Request for Reconsideration.
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