- CR, CR TII, CR TXVI, DC, DRT, DT, FR, OA, OS, RR, SR
- BA, CA, CATA, EIE, FCR
- DCCLCCS, DCCPA, DCCRC, DEAPA
- CRTA, CS, IES
TN 2 (06-04)
RM 00299.005 Form SSA-L669 Request for Evidence in Support of an SSN Application — U.S.-Born Applicant
A. Use of Form
Use this letter to request evidence (age, identity, and U.S. citizenship) from U.S.-born applicants for:
U.S. born applicants include people born in one of the 50 States, District of Columbia, Puerto Rico, Guam, American Samoa, Swain's Island and the U.S. Virgin Islands.
(See details: RM 10210.010 through RM 10210.020)
B. Preparation of Form
Enter DO address, hours, and phone number.
Enter applicant's mailing address.
Check the appropriate block(s).
NOTE: This letter is also available in Spanish as SSA-L669-SP.
C. Other Actions
If form SS-5 has already been received, return it with the letter. The applicant should then resubmit the SS-5 and evidence together.
If letter is being sent as the result of a request for an SSN application, enclose a blank form SS-5.
D. Form SSA-L669 Social Security Request for Evidence in Support of an SSN Application – U.S. Born Applicant
To view this form, go to SSA-L669.