SSA (Social Security Administration) · United States

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Form SS-5: Application for a Social Security Card

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Quick answer

Form SS-5, Application for a Social Security Card, is the SSA form used to apply for a new Social Security card, replace a lost or stolen one, or correct information such as a name change. You complete your name, citizenship status, date and place of birth, parents' names, and signature, then submit it to a Social Security office with original supporting documents — Social Security cards are free. With JustFill you upload the blank SSA SS-5 PDF, the AI auto-detects each field, and you fill and download it free before submitting in person.

Form
Form SS-5
Issued by
SSA (Social Security Administration)
Country
United States
Cost to fill
Free

What is Form SS-5?

Form SS-5 is the universal application for a Social Security card — used to apply for a new card, replace a lost or stolen card, or correct information (name change after marriage, gender marker correction, citizenship status update). The completed form is submitted to a Social Security office with original supporting documents proving identity, age, citizenship, or lawful status.

Who fills out Form SS-5?

  • Parents applying for a Social Security number for a newborn
  • New US citizens or lawful permanent residents applying for their first SSN
  • Anyone replacing a lost, stolen, or damaged Social Security card
  • People updating their name after marriage, divorce, or court order
  • Noncitizens with work authorization applying for an SSN to start employment

Field-by-field breakdown

What each section of Form SS-5 asks for. JustFill’s AI will detect these fields automatically when you upload the PDF — review the breakdown below so you know what to enter.

Item 1 — Name to be shown on card

The exact name you want printed on the SSN card.

Item 2 — Full name at birth

Required if different from current name.

Item 3 — Other names used

List previous legal names (former married names, etc.).

Item 4 — Citizenship status

US citizen, lawful permanent resident, work-authorized noncitizen, or other.

Items 6–9 — Date and place of birth, parents

Date, city/state/country, mother's and father's names at their birth.

Item 11 — Original SSN if applying for replacement

Required only when replacing or correcting an existing card.

Item 13 — Mailing address

Where SSA should mail the card.

Items 17-18 — Signature and relationship

Applicant signs (or parent/guardian for minors).

Common mistakes to avoid

  • 1Not bringing original documents — SSA does not accept photocopies for identity/citizenship proof.
  • 2Mismatched name on supporting documents — name on SS-5 must match the documents you bring (birth certificate, passport, etc.).
  • 3Trying to apply online — SS-5 must be submitted in person at a Social Security office (with limited exceptions for some replacement cards in select states).

How JustFill helps you complete Form SS-5

AI field detection

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Related forms

USCIS (US Citizenship and Immigration Services)

Form I-9

Form I-9: Employment Eligibility Verification

CMS (Centers for Medicare & Medicaid Services)

CMS-L564

CMS-L564: Request for Employment Information (Medicare)

Frequently asked questions

No. Social Security cards are free, whether you're applying for a new one, replacement, or correction.
Typically 7-14 business days after SSA processes the application. Replacement cards in some states can be ordered online via mySocialSecurity for faster issuance.
Yes — most US hospitals offer an Enumeration at Birth program where you request an SSN as part of birth registration. The card arrives by mail.

Official source: Form SS-5 on SSA (Social Security Administration)’s website

JustFill is an independent product and is not affiliated with, endorsed by, or sponsored by SSA (Social Security Administration) or any government agency. Always verify your completed form on the official version before signing or submitting.