Form SS-5 - Application for a Social Security Card
Social Security Card Application
Social Security Administration
Name
Full name: [First Name] [Middle Name] [Last Name]
Other names used: [Other Names]
Personal Information
Date of birth: [DOB]
Place of birth: [Place of Birth]
Citizenship: [Citizenship]
Sex: [Sex]
Ethnicity: [Ethnicity] Race: [Race]
Parent Information
Mother: [Mother"s First] [Mother"s Last] SSN: [Mother"s SSN]
Father: [Father"s First] [Father"s Last] SSN: [Father"s SSN]
Mailing Address
[Address], [City], [State] [ZIP]
Phone: [Phone]
Party 1
________________
Signature
Date: ________________
Party 2
________________
Signature
Date: ________________
What Is a Form SS-5 - Application for a Social Security Card?
A Form SS-5 - Application for a Social Security Card in the United States records the particulars needed to apply for the registration, permit or approval it concerns.
Form SS-5 serves three primary purposes: obtaining an original SSN for first-time applicants (including newborns, immigrants, and individuals who never previously obtained a number), replacing a lost, stolen, or damaged Social Security card, and correcting or updating information on an existing card (such as a legal name change after marriage, divorce, or court order). The SSA issues three types of cards: unrestricted cards for U.S. citizens and permanent residents (showing name and SSN only), restricted cards marked "VALID FOR WORK ONLY WITH DHS AUTHORIZATION" for temporary work-authorized noncitizens, and non-work cards marked "NOT VALID FOR EMPLOYMENT" for noncitizens with valid non-work reasons for needing an SSN.
The form must be submitted in person at a local Social Security office or by mail (for certain categories), along with original or certified copies of supporting documents. The SSA verifies all documents and returns originals. There is no fee for obtaining or replacing a Social Security card. However, replacements are limited to 3 per calendar year and 10 per lifetime under 20 CFR Section 422.103(e), with exceptions for legal name changes and other qualifying circumstances.
When Do You Need a Form SS-5 - Application for a Social Security Card?
Form SS-5 is needed whenever an individual requires a new, replacement, or corrected Social Security card. The most common scenario is for newborns — parents typically apply for their child's SSN at the hospital through the Enumeration at Birth program, but Form SS-5 is used when that process is missed or for children born outside a hospital setting. First-time adult applicants include immigrants who have received work authorization or lawful permanent resident status.
Replacement cards are needed when the original card is lost, stolen, or destroyed. This commonly occurs during moves, after wallet theft, or when the card deteriorates with age. Name changes after marriage, divorce, or court-ordered legal name change require a corrected card with updated information — this is important because the name on the Social Security card must match the name used for employment (Form I-9 and W-2 reporting) and tax filing.
Other situations include correcting a date of birth or citizenship status on SSA records, obtaining a non-work SSN as required by a state to access certain benefits or services (such as a driver's license in states that require an SSN), and updating records after a gender marker change. Noncitizens admitted with work authorization, including H-1B, L-1, and O-1 visa holders, must apply for an SSN within a specific window. Without a valid SSN, individuals cannot be legally employed in the U.S., file federal or state tax returns, or qualify for many government programs including Social Security retirement benefits.
What to Include in Your Form SS-5 - Application for a Social Security Card
Form SS-5 requires the applicant's full legal name as it should appear on the Social Security card, along with the full name at birth if different (including maiden name). The applicant must provide date of birth, place of birth (city, state, and country), and citizenship status (U.S. citizen, legal alien allowed to work, legal alien not allowed to work, or other).
Parental information is required, including the mother's name at birth (maiden name) and the father's name. This information is used to verify identity and prevent duplicate SSN issuance. The applicant must indicate their race/ethnicity (voluntary, used for statistical purposes only) and sex. For applicants requesting a name change, both the previous name and the new legal name must be provided.
Supporting documentation requirements vary by applicant type. U.S. citizens must provide proof of citizenship (U.S. birth certificate, U.S. passport, or Certificate of Naturalization/Citizenship), proof of identity (state-issued driver's license, state ID, or U.S. passport), and proof of age (birth certificate). Noncitizens must provide immigration documents such as a Permanent Resident Card (I-551), Employment Authorization Document (I-766), or arrival/departure record (I-94) along with a valid foreign passport. For children under 18, a parent or legal guardian must sign the application and provide their own identity documents.
The form must be signed by the applicant (or parent/guardian for minors). All documents submitted must be originals or copies certified by the issuing agency — photocopies and notarized copies are not accepted. Processing typically takes 2-4 weeks, and the new card is mailed to the address provided on the form.
Cite this page
Reference this free template in an article, syllabus, or research note:
Forms Legal. (2026). Form SS-5 - Application for a Social Security Card (United States) [Legal document template]. Forms Legal. https://forms-legal.com/usa/government/social-security/form-ss-5
"Form SS-5 - Application for a Social Security Card (United States)." Forms Legal, 2026, https://forms-legal.com/usa/government/social-security/form-ss-5.
@misc{formslegal-form-ss-5,
author = {{Forms Legal}},
title = {Form SS-5 - Application for a Social Security Card (United States)},
year = {2026},
howpublished = {\url{https://forms-legal.com/usa/government/social-security/form-ss-5}},
note = {Free legal document template. Based on Social Security Act § 205(c) (42 U.S.C. § 405)}
}Frequently Asked Questions
Form SS-5, Application for a Social Security Card, is the form you submit to the Social Security Administration to apply for an original Social Security card, a replacement card, or a corrected card. You use Form SS-5 to obtain a Social Security number for the first time, to replace a lost or stolen card, or to change the name or other information on your record after events such as marriage, divorce, or a legal name change. The application requires proof of identity, U.S. citizenship or work-authorized immigration status, and, for name changes, evidence of the change such as a marriage certificate or court order. There is no fee to apply for or replace a Social Security card. Because a Social Security number is needed for employment, tax reporting, and many financial and government purposes, Form SS-5 is the gateway to obtaining or updating that record with the Social Security Administration through original, replacement, or correction requests.
Submitting Form SS-5 requires original documents or certified copies that prove your identity, age, and U.S. citizenship or lawful work-authorized status, with the specific documents depending on the type of request. For an original card, U.S.-born applicants typically provide proof of citizenship such as a birth certificate or passport and proof of identity such as a driver's license or state ID. Noncitizens provide immigration documents showing lawful status and work authorization. For a name change, you also provide a document evidencing the legal change, such as a marriage certificate, divorce decree, or court order, along with proof of identity. The Social Security Administration accepts only originals or copies certified by the issuing agency, not photocopies, and returns your documents. Because the required documents vary by citizenship status and the type of request, you should confirm the current list for your situation before applying, so your Form SS-5 is not delayed for missing or unacceptable proof.
To replace a lost or stolen Social Security card, you complete Form SS-5 and provide proof of your identity, and in many states you can request a replacement online through a my Social Security account without filing the paper form. There is no fee to replace a card, and you are generally limited to three replacement cards in a year and ten in a lifetime, with exceptions for name changes and certain situations. A replacement card shows the same number you already have; you do not receive a new number simply because the card was lost. You can mail Form SS-5 with your documents or take them to a Social Security office. Because you usually do not need the physical card for most purposes once you know your number, you should weigh whether a replacement is necessary. If your card was stolen and you suspect identity theft, you should also take steps to protect your credit and monitor for misuse of your number.
There is no fee to apply for an original, replacement, or corrected Social Security card using Form SS-5; the Social Security Administration provides the service free of charge. You should be cautious of third-party websites or services that offer to obtain a card for a fee, because applying directly through the Social Security Administration costs nothing. To apply, you submit the completed Form SS-5 with the required original documents either by mail or in person at a Social Security office, and in many cases you can request a replacement card online for free through a my Social Security account. The card itself and the assignment of a Social Security number carry no charge. Because the process is free when done directly, paying a third party is unnecessary. If you encounter a site charging for a Social Security card application, recognize that the official process through Form SS-5 and the Social Security Administration is available at no cost to you.
You can change the name on your Social Security record and card using Form SS-5 by submitting the application with documents proving the legal name change and your identity. Common reasons for a name change include marriage, divorce, or a court-ordered change, and you must provide evidence such as a marriage certificate, divorce decree, or court order showing both the old and new names. You also provide proof of identity, and if the name-change document does not adequately establish identity, you may need an additional identity document. There is no fee for the corrected card, which keeps your same Social Security number. Updating your name with the Social Security Administration is important because employers report wages under your number and name, and a mismatch can cause problems with tax records and earnings credit. Because accurate records ensure your earnings are properly credited, you should file Form SS-5 to update your name promptly after a legal change.
This template is provided for informational purposes only and does not constitute legal advice. Laws vary by jurisdiction and change over time. Consult a qualified attorney for advice specific to your situation.Full disclaimer
Found an error? Let us knowRelated Documents
You may also find these documents useful:
Form I-9: Employment Eligibility Verification
Form I-9 is required by U.S. Citizenship and Immigration Services (USCIS) for every new employee to verify identity and employment authorization. Both the employer and employee must complete their respective sections.
Form W-4 - Employee's Withholding Certificate
Form W-4 tells your employer how much federal income tax to withhold from your paycheck. You complete it when starting a new job and update it when your personal or financial situation changes.
Form DS-11: Application For A U.S. Passport
Form DS-11 is the application for a new U.S. passport. It is used by first-time applicants, minors under 16, and individuals whose previous passport was issued before age 16, was lost or stolen, or was issued more than 15 years ago.