Most items on the form are self-explanatory. Those that need explanation are discussed below. The numbers match the numbered items on the form. If you are completing this form for someone else, please complete the items as they apply to that person.
2. Show an address where you can receive the card 10 to 14 days from now.
3. If you check "other" for CITIZENSHIP, provide a document from the Federal/State or local agency explaining why you need a Social Security number and that you meet all the requirements for the benefit or service except for a number.
5. You do not have to complete this item about race/ethnic background. We use this information for statistical reports on how Social Security programs affect people. We do not reveal the identities of individuals.
6. Show the month, day, and full (4-digit) year of birth, for example, "1998" for year of birth.
8. You must enter the mother’s Social Security number in item 8B. if you are applying for a number for a child under age 18.
9. You must enter the father’s Social Security number in item 9B. if you are applying for a number for a child under age 18.
13. 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 number card, show the date of birth you used on the prior application and submit evidence of age to support the date of birth in item 6.
16. You must sign the application if you are age 18 or older and are physically and mentally
capable. If you are under age 18, you may also sign the application if you are physically
and mentally capable. 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. If you are physically or
mentally incapable, generally a parent, close relative, or legal guardian may sign the
application. Call us if you need clarification about who can sign.
