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Use this form to tell the court about any Social Security or federal Individual Taxpayer Identification numbers you have used. Your Statement About Your Social Security Numbers.Download Form (pdf, 30. Proof of Social Security Number (SSN). Submit a copy of one of the following documents. I. (print full name) declare under penalty of perjury under the laws of the United States of America that the following is true and correct: I. All System forms and documents (whether electronic or paper) and electronic applications that collect SSNs must include an appropriate disclosure statement. You may use this form to request earnings information for only ONE Social Security Number (SSN). How do I get my earnings statement? You may use this form to request earnings information for only ONE Social Security Number (SSN).