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Form SS-5 is used to apply for a new Social Security card, replace a lost or stolen card, or request a name change on your existing card. The Social Security number assigned is essential for employment, tax filing, and accessing government benefits in the United States.
Enter your full legal name as you want it to appear on your Social Security card.
If this is a name change, provide the name currently shown on your card.
Enter your date and place of birth (city, state or foreign country).
Select your citizenship status: U.S. Citizen, Legal Alien Allowed to Work, or Legal Alien Not Allowed to Work.
Provide your race/ethnicity information (voluntary for statistical purposes).
Enter both parents' names and Social Security numbers (if known).
Indicate whether you have previously applied for or received a Social Security number.
Provide a daytime phone number, sign and date the form.
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No. There is no charge to apply for a Social Security number or to get a replacement or corrected card. The SSA provides this service free of charge.
You are limited to 3 replacement cards per year and 10 over your lifetime. Legal name changes and other exceptions do not count toward this limit.
In most cases, replacement cards can be requested online through my Social Security account (ssa.gov). However, new cards, name changes, and some other circumstances require you to submit the paper SS-5 form.
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