Issued by SSA. This site is not the issuer. Checked against the issuer on 2026-11-03. Issuer's page · Instructions: on the form, pages 2–3
Individuals submit this free application to the Social Security Administration to obtain an original card, replace a lost one, or correct details on their record like a legal name or birth date. You must submit original documents or certified copies from the custodian to prove age, identity, and citizenship or lawful immigration status, such as a birth certificate, driver's license, or passport. If applying for someone else, you must provide proof of your authority to sign along with identification for both people, and anyone age 12 or older who has never received a number must apply in person.