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Social Security Application Form

Social security number is very important in a number of ways. Firstly, it allows you to get employed, get benefits that accrue the social security card like retirement benefits and disability benefits. It also allows you to receive Government services like loans, aid in case of bankruptcy or theft and basic needs like food, shelter and clothing.

The documents needed for application of social security number are your identity card, immigration certificate if you are not a US citizen and work eligibility records. If you are a student, you must provide forms that prove your status.

The form below is an example

Name: First…………………..Middle…………………Last…………………….

Full name at birth if other than the above

First…………………..Middle…………………Last…………………….

Contact address

City ………….State………………..Zip code…………………..

Citizenship

[ ] US Citizen [  ] Legal Alien allowed to work  [  ] Legal Alien not allowed to work

[  ] Other

Sex [  ] Female     [  ] Male

Race ……………………………

Date of Birth …………………………

Parent’s name at Birth ……………………………

Parent’s social security number …………………………………………….

Signature……………………………………..


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