SSN100 — CHANGE OF ADDRESS NOTIFICATION
You do not need to tell us when you move unless you are receiving benefits from Social
Security, Medicare, or Supplemental Security Income. If you are receiving any of these
benefits, please send your new address and your claim number to one of the local Social
Security offices. If you do not know your claim number, you may call or write any
of the offices. You can find the address and phone number of offices in your area
in the telephone directory.
SSN101 — FURNISH SS-5
We are enclosing a statement of the information you gave us when you applied for a
Social Security number. This printout can usually be used for the same purposes as
a photocopy of your original application.
SSN102 — SS-5 VERIFICATION
(Option a, b or c) application for a Social Security number shows (date) as the date of (Option a, b or c) birth. (Option
a, b or c) signed this application on (date) .
Options:
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SSN103 — REQUEST FOR PROOF OF BIRTH
To request your birth certificate, you should write to the Department of Health, Bureau
of Vital Statistics of the State where you were born. We suggest you give them the
following information:
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•
the date and place of your birth (including the city or town, county and State, street
address, and the name of the hospital, if any),
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•
your mother's maiden name.
This information will help them identify your record.
The people at any Social Security office will be glad to answer any questions you
have about getting your birth certificate. You can find the phone number and address
of the offices in your area in the telephone directory.
SSN104 — PERSON NEEDS TO CONTACT BUREAU OF
VITAL STATISTICS
We received your request for information about getting your birth certificate. If
you have not already done so, you should contact the Department of Health, Bureau
of Vital Statistics, of the State where you were born and ask for a copy of the certificate.
You may have already contacted the Bureau of Vital Statistics and been asked to give
additional evidence to prove your correct date of birth. We are enclosing a printout
of your application for a Social Security number (option, if applicable) . Most states use this type of information to locate a person's record.
The best evidence to prove your date of birth is a record from early in your life.
We most often use birth certificates, religious records of birth or baptism, and hospital
birth records as evidence.
If you are having difficulty in getting your birth certificate, or will need additional
evidence, please call, write or visit any Social Security office. The people there
will be glad to answer your questions and give you information about other types of
evidence.
Option:
and any changes made to your record after you applied.
SSN105 — ASSIGNMENT OF SOCIAL SECURITY NUMBERS
You asked us for some information about how we assign Social Security numbers.
Before 1973, Social Security numbers were assigned in our local offices. The first
three digits of the number were based on the State where the office which issued the
number was located.
Now we issue numbers from our central office in Baltimore. The first three digits
of a number are based on the ZIP code in the mailing address shown on the application
for a number. The remaining digits have no special meaning.
SSN106 — OBTAINING SOCIAL SECURITY CARDS
Please read the instructions on the enclosed form for a full explanation of the documents
you need to obtain (Option
a, b or c) . After you complete and sign the form, take or mail it along with the required documents
to your nearest Social Security office.
You should receive the card in the mail about 2 weeks after we receive the form and
the necessary documents. The people in any Social Security office will answer any
questions about the forms or about applying for a card.
Options:
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b.
a duplicate Social Security card.
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c.
a Social Security card showing your new name.