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Form SS-5: Application for a Social Security Card
Use Form SS-5 to apply for a new, replacement, or corrected Social Security card. Required for U.S. citizens and legal residents who need a Social Security Number for work, benefits, or government services.
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SSA Form SS-5 - Application for a Social Security Card
Use Form SS-5 to apply for a new, replacement, or corrected Social Security card. Required for U.S. citizens and legal residents who need a Social Security Number for work, benefits, or government services.
Risk Radar
Scan points- 1Missing or expired identity documents — SSA requires originals or certified copies, not photocopies.
- 2Name mismatch between documents — all ID documents must show the same name.
- 3Incomplete address or signature — the form will be rejected without a complete current mailing address and signature.
- 4Applying by mail without proper documentation — most applicants must appear in person.
Plain English
This form gets you a Social Security card — whether it is your first one, a replacement if lost or damaged, or a correction of name or other information.
Submission Date
- Filing date: Apply before you start a new job, when changing your legal name, or if your card is lost or damaged.
- Preparation window: collect IDs, supporting records, and signatures in advance.
- Final review: verify names, dates, and required fields before submission.
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Field map
Compact field-by-field guide
Name
3 items
Enter your legal full name as it should appear on the card.
Your name at birth if different from current legal name.
List any other names you have used, including maiden name.
Citizenship
1 items
Indicate your citizenship or immigration status.
Identity
5 items
Male, Female, or X (non-binary).
Your date of birth (MM/DD/YYYY).
Where you were born.
Your mother's maiden name.
Your father's full name.
SSN History
1 items
Have you or anyone acting on your behalf ever filed for or received a Social Security number card before?
Contact
3 items
The date you are completing this form.
Your phone number in case SSA needs to contact you.
Where SSA should mail your new card.
Signature
1 items
Sign the form. Parents or guardians may sign for children under age 18.
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