Form to relay to employee that their Social Security number and name did not match and request reply/action.
Florida Mismatched Social Security Number and Name Form
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How to fill out Mismatched Social Security Number And Name Form?
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FAQ
Report any change to the Social Security Administration by visiting their website or calling them at 800-772-1213 (TTY 800-325-0778).
An SSA mismatch may occur if: Your citizenship or immigration status was not updated with SSA. You did not report your name change to SSA. Your name, Social Security number, or date of birth is incorrect in SSA records.
An invalid SSN is one that the SSA never assigned. In case you're wondering, a valid SSN will never look like this: The first three digits as ?000,? ?666,? or in the 900 series. The second group that consists of two digits as ?00.?
If your SSA match status is ?Not Matched,? the information didn't match with the SSA. Verify that your Social Security number, date of birth, and name are as they appear on your Social Security card. If the information is correct, and you are still having issues, contact SSA at 1-800-772-1213. Was this page helpful?
If you want to correct or update your name or date of birth on your Social Security record, you must apply for a corrected Social Security card. Go to Get Or Replace A Social Security Card and follow the instructions.
If your name and Social Security number don't match because of a mistake (for example, if the name on your W-4 form is "Jon Smith", but the name on record for your Social Security number is "Jonathan Smith") your employer must give you 90 days to fix the problem with the Social Security Administration.
If your SSA match status is ?Not Matched,? the information didn't match with the SSA. Verify that your Social Security number, date of birth, and name are as they appear on your Social Security card. If the information is correct, and you are still having issues, contact SSA at 1-800-772-1213.
An invalid SSN is one that the SSA never assigned. In case you're wondering, a valid SSN will never look like this: The first three digits as ?000,? ?666,? or in the 900 series. The second group that consists of two digits as ?00.?
If you want to correct or update your name or date of birth on your Social Security record, you must apply for a corrected Social Security card. Go to Get Or Replace A Social Security Card and follow the instructions.
Fill out the Application for a Social Security Card (Form SS-5) (PDF) and bring it to a local office along with unexpired identification and proof of name change, such as a marriage or divorce document, adoption decree, amended or corrected birth certificate, court order with the name change, or tribal document.
