Mismatched Social Security Number and Name Form
Understanding this form
The Mismatched Social Security Number and Name Form is used to notify an employee that their Social Security number does not match the name associated with it in the employer's records. This form is essential for ensuring accurate reporting to the Social Security Administration (SSA) and helps employees correct any discrepancies in their information before tax documents are issued. Unlike other employment forms, this one specifically addresses issues related to Social Security compliance and record accuracy.
What’s included in this form
- Verification section for the employee's name and Social Security number.
- Field for the employee to provide their correct name if changes are needed.
- Checklist to confirm whether the Social Security number on file is accurate.
- Signature line for the employee to affirm the information provided is correct.
- Instructions for notifying the SSA if any changes are required.
When to use this form
This form should be used whenever an employer receives a notification of a name and Social Security number mismatch from the SSA. It is important to address these discrepancies promptly, especially prior to tax season or when submitting W-2 forms. Using this form helps ensure that both the employer and employee maintain accurate records, preventing potential issues with tax filings and benefits.
Who needs this form
- Employers who have received notices of discrepancies from the SSA.
- Employees whose Social Security number or name is mismatched in employer records.
- HR professionals responsible for updating employee records and communicating with the SSA.
Steps to complete this form
- Begin by filling out your correct name in the designated section.
- Specify your city, state, and zip code.
- If applicable, indicate any changes to your name due to marriage or other reasons.
- Verify the Social Security number on file to ensure it is accurate.
- Sign the form to confirm that all information is correct and that no changes are necessary; if changes are required, follow the instructions to notify the SSA.
Does this form need to be notarized?
This form does not typically require notarization unless specified by local law. It is recommended to review local requirements to ensure compliance with any potential notarization needs.
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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.
Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.
Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.
If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.
We protect your documents and personal data by following strict security and privacy standards.
Avoid these common issues
- Failing to properly check the accuracy of the Social Security number.
- Not notifying the SSA of a name change before submitting the form.
- Overlooking the requirement for a signature, which can void the form.
- Confusing the name format when submitting corrections.
Benefits of completing this form online
- Convenience of downloading and completing the form at your own pace.
- Editability, allowing users to correct mistakes easily before submission.
- Access to reliable legal templates created by licensed attorneys.
- Easy storage and retrieval of completed forms for future reference.
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FAQ
Individuals often ask, how long does it take to change your name on a Social Security card? The answer depends on the backlog at the SSA. Normally, it takes two to six weeks for the SSA to mail your new card, along with returning any supporting documentation. For this reason, don't wait to initiate the process.
If you change your mind about starting your benefits, you can cancel your application for up to 12 months after you became entitled to retirement benefits.This process is called a withdrawal. You can reapply later.
A dishonest person who has your Social Security number can use it to get other personal information about you. Identity thieves can use your number and your good credit to apply for more credit in your name.We don't give your number to anyone, except when authorized by law.
To seek correction of information related to individual records, benefits, or earnings, please call us at 1-800-772-1213 or contact us. The Social Security Administration has received no requests for correction to information under Section 515.
If you are unable to contact the employee, you are encouraged to document your efforts. If you have already sent a Form W-2 with an incorrect name and/or SSN, then submit a Form W-2c (Corrected Wage and Tax Statement) to correct the mismatch.
To seek correction of information related to individual records, benefits, or earnings, please call us at 1-800-772-1213 or contact us. The Social Security Administration has received no requests for correction to information under Section 515.
First, approach your employer (or your former employer) and ask them to both issue you a corrected W-2 (known as a W-2C), and to also send a corrected copy to the Social Security Administration.
Show the required documents. You will need proof of your identity. Fill out and print an Application for a Social Security Card; and. Mail your application and documents to your local Social Security office.
