SS-5-SP Form PDF Download – How To Fill Out SS-5-SP Form PDF

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SS-5-SP Form PDF Download
SS-5-SP Form PDF Download

What is Form SS-5?

Form SS-5 is available for all U.S. born citizens, all foreign-born U.S. citizens, and, in some select instances, noncitizens with special authorization from the Department of Homeland Security (DHS). Please note that you must present original documents or certified copies of documents to be eligible for processing. 

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What is the SS-5 Form Used for?

The SS-5 form is used to apply for a Social Security number (SSN) or to replace or correct an existing SSN. An SSN is a nine-digit number issued by the Social Security Administration (SSA) to individuals who work in the United States. It is used to track earnings and calculate benefits under the Social Security program.

Reasons to File Form SS-5

There are several reasons why someone might need to file Form SS-5:

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  • To apply for a new SSN: Individuals who have never had an SSN before will need to file Form SS-5 to apply for one. This includes non-U.S. citizens who are authorized to work in the United States.
  • To replace a lost or stolen SSN: If an individual’s SSN card is lost or stolen, they will need to file Form SS-5 to apply for a replacement card.
  • To correct an error on an existing SSN: If there is an error on an individual’s SSN, such as an incorrect name or date of birth, they will need to file Form SS-5 to have the error corrected.

How to File Form SS-5

Form SS-5 can be filed in three ways:

  • Online: You can apply for an SSN online at the SSA website. The online application process is quick and easy, and you will receive your SSN immediately upon completion of the application.
  • By mail: You can mail Form SS-5 to the SSA at:

Social Security Administration Attn: Data Operations Center P.O. Box 35075 Philadelphia, PA 19135

  • In person: You can visit your local SSA office and file Form SS-5 in person. You will need to bring your passport or other valid identification document, as well as proof of your work authorization.

What Information is Needed to File Form SS-5

The information required to file Form SS-5 varies depending on the reason for filing. However, all applicants will need to provide the following information:

  • Full legal name
  • Date of birth
  • Place of birth
  • Immigration status (if applicable)
  • Work authorization information (if applicable)
  • Mailing address
  • Phone number
  • Email address

Additional Information for Specific Situations

In addition to the basic information required for all applicants, some individuals may need to provide additional information depending on their specific situation. For example:

  • Individuals who are applying for a replacement SSN: These individuals will need to provide proof of their identity, such as a passport or driver’s license.
  • Individuals who are correcting an error on an existing SSN: These individuals will need to provide documentation of the error, such as a birth certificate or Social Security statement.

Processing Time for Form SS-5

The processing time for Form SS-5 varies depending on the workload of the SSA. However, you can expect it to take several weeks to process.

What Happens After Filing Form SS-5

Once you file Form SS-5, the SSA will review your application to verify your eligibility for an SSN. They will then notify you by mail of their decision.

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How to Fill out the form SS-5 online


The Social Security Administration (SSA) allows you to apply for an Social Security number (SSN) online. This process is quick and easy. You will receive your SSN immediately upon completion of the application.

What you need to apply for an SSN online

  • A computer with an internet connection
  • A valid email address
  • Your personal information, including your name, date of birth, and address
  • Your work authorization information (if applicable)
  • Proof of identity (if applicable)

How to apply for an SSN online

  1. Go to the SSA website and click on the “Apply for a Social Security Number” link.
  2. Create an account or log in to your existing account.
  3. Complete the online application form.
  4. Review and submit your application.
  5. You will receive your SSN immediately upon completion of the application.
  6. Additional tips for applying for an SSN online:
  7. Make sure you have all of the required information before you start the application.
  8. Complete the application carefully and accurately.
  9. Review your application before you submit it.
  10. Keep your confirmation page for your records.
  11. What happens after you submit your online application
  12. The SSA will process your application and send you a decision notice by mail. If your application is approved, you will receive your SSN and Social Security card. If your application is denied, you will receive a letter explaining the reason for the denial.

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Eligibility requirements for SS-5 are straightforward.

You must provide the following when applying for an original Social Security card for a U.S. born citizen:

  • Original birth certificate OR certified copy of birth certificate; 
  • In the event your birth certificate is not available, it may be possible to submit one of the following: a U.S. passport, a U.S. hospital record of your birth, or a religious record showcasing your date of birth
  • Proof of identity
  • Current, non-expired document with your name, identifying information, and photograph if possible. Common forms of identification include a U.S. passport, a U.S. driver’s license, or state-issued ID card.
  • In lieu of the above, you may be able to present a U.S. military ID card, school or employee ID card, or health insurance card.

A U.S. born citizen applying for an original Social Security card must provide two documents to prove U.S. citizenship, age, and identity. A U.S. born citizen applying for a replacement Social Security card must provide one document to provide their identity. 

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Changing or Correcting Your Information

If you’re looking to correct or change the information on your Social Security record (for example, changing the name on your social security card), you will need the following:

  • Proof of citizenship ONLY IF you have not already established citizenship status with the Social Security Administration
  • If you have not done so already, an original or certified copy of a U.S. birth certificate or a U.S. passport are the easiest ways to establish citizenship
  • Legal proof of name change, such as a marriage document, certificate of naturalization, court order approving the change, or divorce decree

Quick Tip – The Social Security Administration can use one document for multiple purposes. If you have one, your U.S. Passport is sufficient as both proof of citizenship and proof of identity. 

You are limited to a maximum of three Social Security card replacements in a given calendar year, and 10 per lifetime. Corrected Social Security cards (for example, in the event of a name change) do not contribute to this limit.

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‍USE THIS APPLICATION TO APPLY FOR:

An original Social Security card

A duplicate Social Security card (same name and number)

A corrected Social Security card (name change and same number)

A change of information on your record other than your name (no card needed) IMPORTANT: You MUST provide the required evidence or we cannot process the application. Follow the instructions below to provide the information and evidence we need.
STEP 1 Read pages 1 through 3 which explain how to complete the application and what evidence we need.
STEP 2 Complete and sign the application using BLUE or BLACK ink. Do not use pencil or other colors of ink. Please print legibly.
STEP 3 Submit the completed and signed application with all required evidence to any Social Security office.

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HOW TO COMPLETE THIS APPLICATION

Most items on the form are self-explanatory. Those that need explanation are discussed below. The numbers match the numbered items on the form. If you are completing this form for someone else, please complete the items as they apply to that person.

  1. Show the address where you can receive your card 10 to 14 days from now.
  2. If you check “Legal Alien Not Allowed to Work,” you need to provide a document from the government agency requiring your Social Security number that explains why you need a number and that you meet all of the requirements for the benefit or service except for the number.
  3. A State or local agency requirement must conform with Federal law. If you check “Other,” you need to provide proof you are entitled to a federally-funded benefit for which a Social Security number is required as a condition for you to receive payment.
  4. Providing race/ethnic information is voluntary. However, if you do give us this information, it helps us prepare statistical reports on how Social Security programs affect people. We do not reveal the identities of individuals.
  5. Show the month, day and full (4 digit) year of birth, for example, “1998” for year of birth. 8.B. Show the mother’s Social Security number only if you are applying for an original Social Security card for a child under age 18. You may leave this item blank if the mother does not have a number or you do not know the mother’s number.
  6. We will still be able to assign a number to the child. 9.B. Show the father’s Social Security number only if you are applying for an original Social Security card for a child under age 18. You may leave this item blank if the father does not have a number or you do not know the father’s number. We will still be able to assign a number to the child.

If the date of birth you show in item 6 is different from the date of birth you used on a prior application for a Social Security card, show the date of birth you used on the prior application and submit evidence of age to support the date of birth in item 6.

You must sign the application yourself if you are age 18 or older and are physically and mentally capable. If you are under age 18, you may also sign the application if you are physically and mentally capable. If you cannot sign your name, you should sign with an “X” mark and have two people sign as witnesses in the space beside the mark. If you are physically or mentally incapable of signing the application, generally a parent, close relative, or legal guardian may sign the application. Call us if you need clarification about who can sign.

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ABOUT YOUR DOCUMENTS

We need ORIGINAL documents or copies certified by the custodian of the record. We will return your documents after we have seen them.

We cannot accept photocopies or notarized copies of documents.

If your documents do not meet this requirement, we cannot process your application.
DOCUMENTS WE NEED To apply for an ORIGINAL CARD (you have NEVER been assigned a Social Security number before), we need at least 2 documents as proof of: Age, Identity, and

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U.S. citizenship or lawful alien status.

To apply for a DUPLICATE CARD (same number, same name), we need proof of identity.
To apply for a CORRECTED CARD (same number, different name), we need proof of identity. We need one or more documents which identify you by the OLD NAME on our records and your NEW NAME. Examples include: a marriage certificate, divorce decree, or a court order that changes your name. Or we can accept two identity documents – one in your old name and one in your new name. (See IDENTITY, for examples of identity documents.)
IMPORTANT: If you are applying for a duplicate or corrected card and were born outside the U.S., we also need proof of U.S. citizenship or lawful alien status. (See U.S. CITIZENSHIP or ALIEN STATUS for examples of documents you can submit.)
AGE: We prefer to see your birth certificate. However, we can accept another document that shows your age. Some of the other documents we can accept are:

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Hospital record of your birth (created at the time of your birth) Religious record showing your age made before you were 3 months old Passport Adoption record (the adoption record must indicate that the birth data was taken from the original birth certificate) Call us for advice if you cannot obtain one of these documents. Form SS-5 (10-2003) EF (10-2003) Page 2 IDENTITY: We must see a document in the name you want shown on the card. The identity document must be of recent issuance so that we can determine your continued existence.

We prefer to see a document with a photograph. However, we can generally accept a non-photo identity document if it has enough information to identify you (e.g., your name, as well as age, date of birth or parents’ names). WE CANNOT ACCEPT A BIRTH CERTIFICATE, HOSPITAL SOUVENIR BIRTH CERTIFICATE, SOCIAL SECURITY CARD OR CARD STUB, OR SOCIAL SECURITY RECORD as evidence of identity. Some documents we can accept are:

Driver’s license • Marriage or divorce record • Military record Employee ID card • Adoption record (only if not • Life insurance policy Passport being used to establish age) • School ID card Health insurance card (not a Medicare card) As evidence of identity for infants and young children, we can accept : Doctor, clinic, hospital record Daycare center, school record

Religious record (e.g., baptismal record)
IMPORTANT: If you are applying for a card on behalf of someone else, you must provide evidence that establishes your authority to sign the application on behalf of the person to whom the card will be issued. In addition, we must see proof of identity for both you and the person to whom the card will be issued. U. S. CITIZENSHIP: We can accept most documents that show you were born in the U.S. If you are a U.S. citizen born outside the U.S., show us a U.S. consular report of birth, a U.S. passport, a Certificate of Citizenship, or a Certificate of Naturalization.

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ALIEN STATUS: We need to see an unexpired document issued to you by the Department of Homeland Security (DHS) showing your immigration status, such as Form I-551, I-94, I-688B, or I-766. We CANNOT accept a receipt showing you applied for the document. If you are not authorized to work in the U.S., we can issue you a Social Security card if you are lawfully

here and need the number for a valid nonwork reason. (See HOW TO COMPLETE THIS APPLICATION, Item 3.) Your card will be marked to show you cannot work. If you do work, we will notify DHS. To CHANGE INFORMATION on your record other than your name, we need proof of: Identity, and • Another document which supports the change (for example, a birth certificate to change your date and/or place of birth or parents’ names).

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HOW TO SUBMIT THIS APPLICATION

In most cases, you can mail this application with your evidence documents to any Social Security office. We will return your documents to you. If you do not want to mail your original documents, take them with this application to the nearest Social Security office.
EXCEPTION: If you are age 12 or older and have never been assigned a number before, you must apply in person. If you have any questions about this form, or about the documents we need, please contact any Social Security office.

A telephone call will help you make sure you have everything you need to apply for a card or change information on your record. You can find your nearest office in your local phone directory or on our website at www.socialsecurity.gov. Form SS-5 (10-2003) EF (10-2003) Page 3THE PAPERWORK/PRIVACY ACT AND YOUR APPLICATION The Privacy Act of 1974 requires us to give each person the following notice when applying for a Social Security number.

Sections 205(c) and 702 of the Social Security Act allow us to collect the facts we ask for on this form. We use the facts you provide on this form to assign you a Social Security number and to issue you a Social Security card. You do not have to give us these facts, however, without them we cannot issue you a Social Security number or a card. Without a number, you may not be able to get a job and could lose Social Security benefits in the future.

The Social Security number is also used by the Internal Revenue Service for tax administration purposes as an identifier in processing tax returns of persons who have income which is reported to the Internal Revenue Service and by persons who are claimed as dependents on someone’s Federal income tax return.

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We may disclose information as necessary to administer Social Security programs, including to appropriate law enforcement agencies to investigate alleged violations of Social Security law; to other government agencies for administering entitlement, health, and welfare programs such as Medicaid, Medicare, veterans benefits, military pension, and civil service annuities, black lung, housing, student loans, railroad retirement benefits, and food stamps; to the Internal Revenue Service for Federal tax administration; and to employers and former employers to properly prepare wage reports.

We may also disclose information as required by Federal law, for example, to the Department of Homeland Security, to identify and locate aliens in the U.S.; to the Selective Service System for draft registration; and to the Department of Health and Human Services for child support enforcement purposes. We may verify Social Security numbers for State motor vehicle agencies that use the number in issuing drivers licenses, as authorized by the Social Security Act.

Finally, we may disclose information to your Congressional representative if they request information to answer questions you ask him or her. We may use the information you give us when we match records by computer. Matching programs compare our records with those of other Federal, State, or local government agencies to determine whether a person qualifies for benefits paid by the Federal government. The law allows us to do this even if you do not agree to it.

Explanations about these and other reasons why information you provide us may be used or given out are available in Social Security offices. If you want to learn more about this, contact any Social Security office. 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.

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We estimate that it will take about 8.5 to 9 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 your telephone directory or you may call Social Security at 1-800-772-1213. You may send comments on our time

estimate above to: SSA, 1338 Annex Building, Baltimore, MD 21235-0001. Send only comments relating to our time estimate to this address, not the completed form.

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Frequently Asked Questions (FAQs) About Form SS-5-SP

Q 1. What is Form SS-5-SP?

Form SS-5-SP is the application for a Social Security number in Spanish, used by individuals who are not citizens of the United States but are eligible to work in the country.

Q 2. Who needs to file Form SS-5-SP?

Individuals who need to file Form SS-5-SP include:

  • Non-U.S. citizens who are authorized to work in the United States
  • Individuals who have been granted work authorization based on their immigration status
  • Individuals who are applying for a Social Security number for the first time

Q 3. How do I file Form SS-5-SP?

You can file Form SS-5-SP in two ways:

  • In person: You can visit your local Social Security office and file Form SS-5-SP in person. You will need to bring your passport or other valid identification document, as well as proof of your work authorization.
  • By mail: You can mail Form SS-5-SP to the Social Security Administration at:

Social Security Administration Attn: Data Operations Center P.O. Box 35075 Philadelphia, PA 19135

Q 4. What information do I need to file Form SS-5-SP?

You will need to provide the following information on Form SS-5-SP:

  • Your full legal name
  • Your date of birth
  • Your place of birth
  • Your immigration status
  • Your work authorization information
  • Your contact information (mailing address, phone number, email address)

Q 5. How long does it take to process Form SS-5-SP?

The processing time for Form SS-5-SP varies depending on the workload of the Social Security Administration. However, you can expect it to take several weeks to process.

Q 6. What happens after I submit Form SS-5-SP?

Once you submit Form SS-5-SP, the Social Security Administration will review your application to verify your eligibility for a Social Security number. They will then notify you by mail of their decision.

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