TN 21 (05-06)
This section contains policy and procedure for Forms SSA-704-F3, SSA-533, SSA-4385,
and SSA-768 respectively.
All certification forms must be completed by authorized employees (see GN 00301.090). In addition, for the SSA-704-F3, certifications duly executed by a U.S. Consular
employee are acceptable regardless of the type of form used.
To certify the contents of English-language documents when the documents to be returned
to the claimant cannot be photocopied. However, see NOTE in GN 00301.090A.1.b. for exception.
To certify records in the custody of a public custodian.
To do extract translations of foreign language records and documents prepared by an
SSA translator who is also authorized to certify documents (see GN 00301.090 and GN 00301.340).
NOTE: A properly certified photocopy of the document being translated is still required
unless the document is in the custody of a public custodian or cannot otherwise be
The evidence is being secured in connection with prosecution.
Use to certify records of age, relationship, citizenship, marriage, death, military
service, and to evaluate a family bible or other family record.
NOTE: State Record Custodians may use Form SSA-704-F3 to certify evidence for SSA purposes.
The completed form must be given to SSA directly by the State Record Custodian.
May be used to certify and translate foreign language documents by SSA authorized
translators who are also authorized to certify documents under GN 00301.090.
Do not use to certify court records (see GN 00301.115E.).
All employees can use this form to route foreign language documents for translation
(see GN 00301.365.)
SSA authorized translators can use this form to certify/translate foreign language
documents (SSA-533-FC in OIO);
NOTE: SSA employees who are authorized translators can use the SSA-533 to certify foreign-language
documents even though the translator is not an authorized SSA certifier under GN 00301.090.
Claims representative trainees or higher grade claims employees may use to certify
the contents of the following court records when the record cannot be photocopied:
Certify/translate foreign language court records if they are authorized translators.
See GN 00301.430B. for special rules that apply to extract translations of court decrees.
Use to establish wages.
Follow the procedure in RS 01403.043D.2. when Form W-2 (Withholding Statement) cannot be recorded electronically on an
For exhibits of these forms refer to OS 15010.000.