BASIC (01-12)

RM 10299.090 Form SSA-5028 and SSA-5028-SP, Receipt for Application for a Social Security Number

A. Use of the Form SSA-5028

An applicant can use the SSA-5028 (Receipt for Application for a Social Security Number), when needed, to verify that he or she has applied for a Social Security Number (SSN). Form SSA-5028 is available in both English and Spanish.

The SSA-5028 is not a controlled form; it is simply a receipt. If the applicant does not receive his or her card within the period indicated on the SSA-5028, he or she must contact the field office and submit complete identifying information and supporting evidence. The field office employee needs this information to transmit a status query.

B. Preparation of the form

CAUTION: Before issuing Form SSA-5028, be certain that assignment of an SSN is proper. Verify all necessary evidence of age, identity, and U.S. citizenship or lawful alien status. In addition, do not issue the SSA-5028 to applicants whose SS-5's, (Application for a Social Security Card) have codes “N,” “X,” or “Y.” For these applicants issue Form SSA-5029, Application for a Non-Work Social Security Number.

You may key or write the following information on the SSA-5028.

  1. Enter the applicant's name and the date of the SS-5 and the above listed information and when received by the district office (DO) in the spaces provided.

  2. Enter the DO address and telephone number where indicated.

C. Form SSA-5028 and Form SSA-5028-SP Receipt for Application for a Social Security Number

See OS 15010.752 Form SSA-5028 Receipt for Application for a Social Security Number (English)

See OS 15010.753 Form SSA-5028-SP Receipt for Application for a Social Security Number (Spanish)


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0110299090
RM 10299.090 - Form SSA-5028 and SSA-5028-SP, Receipt for Application for a Social Security Number - 02/02/2012
Batch run: 02/02/2012
Rev:02/02/2012