PDF Application for the Social Security Card
The Notice, additional information regarding this form , and information regarding our systems and programs, are available on-line at www. socialsecurity .gov or at any U.S. Social Security office or your Federal Benefits Unit.

Form SS-5 (10-2021) UF Use (11-2019) UF Until Stock Is Exhausted SOCIAL SECURITY ADMINISTRATION
Changing Information on Your Social Security Record To change the information on your Social Security number record (i.e., a name or citizenship change, or corrected date of birth) you must provide documents to prove your identity, support the requested change, and establish the reason for the change. For example, you may provide a birth certificate to show your correct date of birth. A ...

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Apply for a replacement Social Security card Change or correct information on your Social Security number record IMPORTANT: You MUST provide a properly completed application and the required evidence before we can process your application . We can only accept original documents or documents certified by the custodian of the original record.
Social Security Numbers (SSN)
You will need to complete an Application for a Social Security Card , Form SS-5-FS (PDF / 5 pages / 125 KB) and provide the original documents listed under Option 2, above.
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