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Form SS-5 - Application for a Social Security Card

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: ________________

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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:

APA

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

MLA

"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.

BibTeX
@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

Based on Social Security Act § 205(c) (42 U.S.C. § 405) — Template last modified June 2026Verify the source →

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

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