Form SS-5-FS (08-2011) ef (08-2011) Destroy Prior Editions
SOCIAL SECURITY ADMINISTRATION
Application for a Social Security Card
Applying for a Social Security Card is free!
USE THIS APPLICATION TO:
Apply for an original Social Security card
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. Notarized copies or photocopies which have not been certified by the
custodian of the record are not acceptable. We will return any documents submitted with your
application. For assistance contact any U.S. Social Security office, U.S. Embassy or consulate or the
Veterans Affairs Regional Office (VARO) in Manila. For information about services outside the U.S.,
visit our website at www.socialsecurity.gov/foreign
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. If you are not a U.S. citizen and do not
have Department of Homeland Security (DHS) work authorization, you must prove that you have a valid
non-work reason for requesting a card. See page 2 for an explanation of acceptable documents.
NOTE: If you are age 12 or older and have never received a Social Security number, you must apply in
Replacement Social Security Card
To apply for a replacement card, you must provide one document to prove your identity. If you were
born outside the U.S., you must also provide documents to prove your U.S. citizenship or current lawful,
work-authorized status. See page 2 for an explanation of acceptable documents.
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 document supporting a name change must be recent and identify
you by both your old and new names. If the name change event occurred over two years ago or if the
name change document does not have enough information to prove your identity, you must also
provide documents to prove your identity in your prior name and/or in some cases your new legal
name. If you were born outside the U.S., you must provide a document to prove your U.S. citizenship
or current lawful, work-authorized status. See page 2 for an explanation of acceptable documents.
LIMITS ON REPLACEMENT SOCIAL SECURITY CARDS
Public Law 108-458 limits the number of replacement Social Security cards you may receive to 3 per
calendar year and 10 in a lifetime. Cards issued to reflect changes to your legal name or changes to a
work authorization legend do not count toward these limits. We may also grant exceptions to these
limits if you provide evidence from an official source to establish that a Social Security card is required.
IF YOU HAVE ANY QUESTIONS
If you have any questions about this form or about the evidence documents you must provide, please
contact any U.S. Social Security office, U.S. Embassy or consulate or VARO. For information about
services outside the U.S., visit our website at www.socialsecurity.gov/foreign.