TN 84 (06-23)

GN 00301.400 Extract Translations

A. Policy

Only authorized SSA translators can prepare extract translations.

1. Prescribed Forms

The prescribed forms are as follows:

  • Form SSA-533 (Translation Request). Translate all required information on the reverse (translation) side.

  • SSA-4385 (Certification of Contents of Court Records) in accordance with instructions in GN 00301.115E.

  • The EVID screen, the “RPOC” screen in MCS, or the Report of Contact page in the Consolidated Claims Experience (CCE). in PE situations. (See GN 00301.286, GN 00301.287, and GN 00301.288)

2. “Translation Stamp”

A “translation stamp” can be used as an alternative method of documenting a translation. Translate pertinent data from commonly presented proofs (e.g., birth and baptismal certificates, death and marriage certificates) on reverse side of SSA's retained photocopy of the foreign- language document. The format may be stamped or handwritten. See the exhibit in GN 00301.400B.

B. Exhibit - Extract Translation Stamp Format

EXTRACT TRANSLATION STAMP

 

CLAIM NO. _________________________________________

 

 

THIS IS A B/C  ___   BAPT/C ____   D/C ____ M/C _____    OTHER ______

 

DOCUMENT RELATES TO:

 

BIC ______   NAME ____________    SSN:_____________   AGE ___________     

 

(IF MARRIAGE CERTIFICATE) SPOUSE'S NAME: ___________________  AGE   ________

 

(IF POA) FATHER: ________________________  MOTHER:    ____________________________

 

DATE OF EVENT/BIRTH   ______________________________

 

PLACE OF EVENT/BIRTH   __________________________________________

 

NAME OF OFFICIATING PRIEST (IF MEXICAN BAPTISMAL CERTIFICATE)

_______________________________________________________________________

 

DATE OF RECORDATION         _______________________________             

 

ISSUING AGENCY        ________________________________________________                                  

 

DATE ISSUED      ________________________________________________                  

 

THE ORIGINAL, OF WHICH THIS IS A PHOTOCOPY, APPEARS TO BE GENUINE, UNALTERED, AND TO HAVE BEEN MADE AT THE TIME PURPORTED.

 

TRANSLATOR'S SIGNATURE:  ________________________________   TITLE   _________  

 

DATE DOCUMENT TRANSLATED  _____________________________________               


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0200301400
GN 00301.400 - Extract Translations - 06/14/2023
Batch run: 06/14/2023
Rev:06/14/2023