Social Security Application Form Printable

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Social Security Application Form Printable For assistance call us at 1 800 772 1213 or visit our website at www socialsecurity gov Original Social Security Card To apply for an original card you must provide at least two documents to prove age identity and U S citizenship or current lawful work authorized immigration status

PRINT your name Speak Form SSA 1 BK 11 2022 UF Discontinue Prior Editions Social Security Administration 2 Write 1 b Enter Social Security number s used a Have you used any other name s Answer question 3 if English is not your language preference Otherwise go to item 4 Enter the language you prefer to a Enter your date of Ways to Apply You can complete an application for Retirement Spouse s Medicare or Disability Benefits online If you cannot submit your application online You can call us at 1 800 772 1213 TTY 1 800 325 0778 or Due to the COVID 19 pandemic visits to our offices are by appointment only for certain services

Social Security Application Form Printable

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Social Security Application Form Printable
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If you ll turn 65 within three months you can use our online application to apply for Medicare and Social Security retirement benefits at the same time or you can use it to apply for just Medicare To learn more about your Medicare options review our section on Medicare Benefits Applying As A Spouse Or Family Member An Application for a Social Security Card Form SS 5 is used to request a new or replacement Social Security card from the Social Security Administration SSA The form asks for basic information about the applicant and their parents Filing Methods 2 Online Filings Go to www ssa gov number card Processing time 7 10 business days 1

If you plan to apply for Social Security benefits in person it s best to make an appointment You can do that by calling Social Security s national toll free number 800 772 1213 Monday through Friday 8 a m to 7 p m ET or by contacting your local office directly To apply for Social Security of any kind while living abroad contact the I am We are applying for Supplemental Security Income and any federally administered state supplementation under Title XVI of the Social Security Act for benefits under the other programs administered by the Social Security Administration and where applicable for medical assistance under Title XIX of the Social Security Act

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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 The easiest way to request a copy of the SS 5 form for your ancestor is to apply online through the Social Security Administration A printable version of this SS 5 Application Form is also available for mail in requests Alternatively you can send 1 the person s name 2 the person s Social Security Number if known and 3 either

The base application for Social Security Disability SSDI is the SSA 16 BK while the base application form for Supplemental Security Income SSI disability is the SSA 8000 BK Base application forms for disabled widows and adult children are the SSA 10 and SSA 4 BK respectively You can get free help filling out the application from the Social Security Administration Call 800 772 1213 to arrange an in person visit or telephone call You may also be able to hire a disability advocate a nonlawyer disability representative to help you fill out the form

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https://www.ssa.gov/forms/ss-5.pdf
For assistance call us at 1 800 772 1213 or visit our website at www socialsecurity gov Original Social Security Card To apply for an original card you must provide at least two documents to prove age identity and U S citizenship or current lawful work authorized immigration status

FREE 8 Sample Social Security Application Forms In PDF
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https://www.ssa.gov/forms/ssa-1-bk.pdf
PRINT your name Speak Form SSA 1 BK 11 2022 UF Discontinue Prior Editions Social Security Administration 2 Write 1 b Enter Social Security number s used a Have you used any other name s Answer question 3 if English is not your language preference Otherwise go to item 4 Enter the language you prefer to a Enter your date of


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Social Security Application Form Printable - If you ll turn 65 within three months you can use our online application to apply for Medicare and Social Security retirement benefits at the same time or you can use it to apply for just Medicare To learn more about your Medicare options review our section on Medicare Benefits Applying As A Spouse Or Family Member