Fill out Form SS-5 online
Application for a Social Security Card
Applies for an original Social Security card, a replacement card, or a correction to the information on your record. Applying is free.
Opens in the DocZap editor. What you type stays in your browser.
- Published by
- SSA
- Version
- Rev. 12-2024
- Length
- 5 pages
- Fillable fields
- 76
76 fillable fields
What to know about Form SS-5
- Applying for a Social Security card is free.
- Use it to apply for an original card or a replacement, or to change or correct the information on your record.
- The first four pages are instructions. The application itself is page 5.
- You have to show original or certified documents that prove your identity, age, and U.S. citizenship or immigration status. The instructions list which ones are accepted.
Have these ready
- Original or certified documents that prove your identity and status, as the form's instructions list them
- Your full legal name, date of birth, and place of birth
- A way to pay any fee the application has. Check the agency's instructions for current amounts
What's on Form SS-5
This is the Rev. 12-2024 version, 5 pages long, with 76 fillable fields, including 46 text boxes and 24 checkboxes. In the editor, the fillable fields are highlighted so you can see where to type.
How filling it in works
- 1
Open the form
Choose "Fill this form". The blank Form SS-5 opens in the editor.
- 2
Type into it
Click a field and type, or click a box to tick it. Use Text for anything that isn't a field.
- 3
Download your copy
Press Done to save the filled-in PDF to your device. Nothing is uploaded.
After you fill it in
Frequently asked questions
Is this the official Form SS-5?+
It is the blank PDF published by the Social Security Administration (Rev. 12-2024). DocZap hosts a copy and isn't affiliated with the Social Security Administration. Before you submit it, check the Social Security forms page for a newer version.
How do I fill out Form SS-5 online?+
Choose "Fill this form" and the blank form opens in the DocZap editor with 76 fillable fields. Click a field to type, or click a box to tick it. For anything that isn't a field, use the Text tool to type anywhere on the page, or the Image tool to add a picture of your signature. Press Done to download your copy.
Is what I type uploaded anywhere?+
No. The blank form loads from this site, then everything you type stays in your browser tab. Nothing is sent to a server and nothing is saved when you close the tab, so download your finished PDF before you leave.
Where do I send Form SS-5 once it's filled in?+
It depends on the form and your situation. The instructions for Form SS-5 explain who receives it and how to submit it, so read them first. They are on the Social Security forms page.
How long is Form SS-5?+
This PDF (Rev. 12-2024) is 5 pages long and has 76 fillable fields, including 46 text boxes and 24 checkboxes.
Does it cost anything?+
No. There is no account, no watermark, and no limit on how many forms you fill in.
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DocZap isn't affiliated with the Social Security Administrationor any government agency, and this page isn't legal or tax advice. Find the latest version, instructions and submission details on the Social Security forms page.