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Social Security

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INTRODUCTION:

Application for a Social Security Card can be used by anyone who has never been issued a card, needs a replacement card or has changed his or her name.

FEE SCHEDULE FOR OFFICIAL SOCIAL SECURITY CARD APPLICATION:

A cost recovery administrative and consultant fee of $99.00 plus postage and handling to cover the cost of processing applications of various types are payable by applicants. However, all fees are subject to change without notice. All fees are payable at the time of application.

LIMITS ON REPLACEMENT SOCIAL SECURITY NUMBER (SSN) CARDS

There are limits on the number of replacement SSN cards you may receive at 3 per year and 10 in a lifetime. In determining these limits, this does not count changes in name (i.e., first name or surname), or changes to a restrictive legend (i.e., Valid for Work with DHS Authorization, Not Valid for Employment) shown on the SSN card.

HOW TO COMPLETE THE APPLICATION:

Most items on the form are self explanatory. If you are completing this form for someone else, please complete the items as they apply to that person.

Show the address where you can receive your cards.

Providing race/ethnic information is voluntary. However, providing this information helps to prepare statistical reports Social Security programs affect people. This information is confidential and does not reveal the identities of individuals in these reports.

Show the month, day and full (4 digit) year of birth.

You must show the mother's Social Security number only when the application is for an original Social Security card for a person under age 18. However, this item may be left blank if the mother was never assigned a Social Security number, or if you do not know the mother's Social Security number and are unable to obtain it. You will still be assigned a number to the person under age 18.

You must show the father's Social Security number only when the application is for an original Social Security card for a person under age 18. However, this item may be left blank if the father was never assigned a Social Security number, or if you do not know the father's Social Security number and are unable to obtain it. You will still be assigned a number to the person under age 18.

If the date of birth you show in item 6 is different from the date of birth you used on a prior application for a Social Security card, show the date of birth you used on the prior application.

If you are age 18 or older, you must sign the application. If you are under age 18, you or a parent or legal guardian may sign. If you are physically or mentally incapable of signing the application, generally a parent, close relative, or legal guardian may sign the application. If you cannot sign your name, you should sign with an "X" mark and have two people sign as witnesses in the space beside the mark. Please do not alter your signature by including any additional information on the signature line as this may invalidate your application.

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