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Statement - This information collection meets the requirements of 44 U.S.C. §3507, as amended by Section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget control number. We estimate that it will take about 15 minutes to read the instructions, gather the facts, and answer the questions. SEND THE COMPLETED FORM TO YOUR LOCAL SOCIAL SECURITY OFFICE. The office is listed under U. S. Government agencies in .

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How to fill out the SSA-795 online

Filling out the SSA-795 form is an important step for individuals seeking to declare their good faith efforts towards U.S. citizenship. This guide provides a clear, step-by-step approach to completing the form online, ensuring that you understand each section and field required.

Follow the steps to complete the form accurately and efficiently.

  1. Click the ‘Get Form’ button to obtain the SSA-795 form and open it in your editing platform.
  2. Begin with the first section by entering the name of the wage earner, self-employed person, or SSI claimant. Clearly state their full name to ensure accuracy.
  3. Provide the Social Security number associated with the individual in the previous field. Double-check this number for correctness, as it is crucial for identification.
  4. If the statement is being made by someone other than the wage earner or claimant, enter the name of the person making the statement in the designated area.
  5. Indicate the relationship of the person making the statement to the wage earner, self-employed person, or SSI claimant. This relationship must be clear and precise.
  6. Acknowledge the certification statement regarding intentions to pursue U.S. citizenship. Review the language carefully to understand its implications.
  7. Finalize the document by signing your name in the designated signature field. Be sure to write in ink to maintain the integrity of the submission.
  8. Enter the date in the format of month, day, and year. This date is essential for processing your claim.
  9. Include your telephone number with an area code, as this may be necessary for further communication.
  10. Fill out your mailing address completely, including street number, apartment number (if applicable), city, state, and ZIP code.
  11. If the form is signed by mark (X), ensure that two witnesses who know the individual also sign below, providing their full addresses.
  12. Once all fields are complete and verified, save your changes. You can also download, print, or share the form as needed for your local Social Security office submission.

Complete your documents online seamlessly with the provided steps.

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