Form SS-5

Application for a Social Security Card

Apply for your first Social Security card, a replacement card, or a corrected card (for a name change) — free, directly from the Social Security Administration.

Download blank PDF

Editing happens entirely in your browser — the form is never uploaded to a server.

What is Form SS-5?

Form SS-5 is the single application for anything to do with a Social Security card: an original card for someone who's never had a number, a replacement for a lost or stolen card, or a corrected card after a legal name change through marriage, divorce or court order. There is never a fee.

You have to prove your identity, U.S. citizenship or lawful immigration status, and — for a name change — the event that changed it. The SSA only accepts original documents or copies certified by the issuing office, not photocopies or notarized copies. Many people can now start an original-card or name-change request online and only visit an office to show documents.

Who needs it
Anyone getting a Social Security number for the first time (including newborns, though hospitals usually handle that at birth), anyone replacing a lost card, and anyone whose legal name has changed and who needs the card to match.
Deadline
No deadline. Replace a lost card whenever you need it (you're limited to 3 replacements per year and 10 in a lifetime, with exceptions). After a name change, update your card before your name matters for work or taxes.
How to submit
Complete the form, then either bring it with your original documents to your local Social Security office, or mail it there — check the SSA's office locator. Some requests can be completed through a my Social Security account. The card arrives by mail, usually within about two weeks.

Form SS-5 — line-by-line

1–2 — Name

The name you want on the card, and (for a correction) the most recent name shown on your existing card.

3 — Prior names

Any other name you've used, such as a maiden name or a previous married name.

4–6 — Place and date of birth, citizenship

City/state or foreign country of birth, date of birth, and your U.S. citizenship or immigration status.

9–13 — Parents' information

Your mother's and father's names and Social Security numbers, if known (required for an original card for a child under 18).

14–15 — Today's date and daytime phone

So the SSA can contact you about the application.

16–17 — Mailing address and signature

Where to send the card, and your signature (a parent or guardian signs for a minor).

Form SS-5 — frequently asked questions

Does it cost anything to get a Social Security card?+

No. A Social Security card — original, replacement or corrected — is always free from the SSA. Any site charging a fee is a third party, not the government.

What documents do I need?+

Proof of identity (usually a U.S. driver's license, state ID or passport) and proof of citizenship or immigration status (a birth certificate or passport). For a name change, also the marriage certificate, divorce decree or court order. Originals or agency-certified copies only.

How long does the card take?+

Usually about 7–14 business days after the SSA has verified your documents.

Can my child get a number at birth?+

Yes — you can request it as part of the birth registration at the hospital, which is the easiest way. Otherwise use Form SS-5 with the child's birth certificate and proof of your identity.

Related forms

The blank Form SS-5 offered here is the version published by the Social Security Administration (SSA). Official page and instructions .

PDFCure is not a government agency and does not provide tax, legal, or immigration advice. This page is general information — for your specific situation, follow the official instructions or consult a qualified professional. Always download the current edition from the agency before filing. Revision referenced: 2024.