Form guide
Form SS-5SS-5
Application for a Social Security card — new, replacement or corrected.
United StatesIdentitySSA
Edition 12-2024
Version last read from the agency on September 28, 2026
Get the current form from SSA
DocuGrip is independent and is not affiliated with, endorsed by or acting for any government agency. We do not host this PDF. Agencies revise their forms, and a copied file quietly becomes the wrong file — this link always gives you the version the agency is handing out today.
Tools for this document
Fill it in without uploading anything
Download today's version
Open the agency page and save the PDF. Editions change, and the agency page always has the current one.
Fill it in here
Drop the PDF into the form filler. The document is never transmitted and nothing is uploaded.
Sign it and meet the upload limit
Add your signature, then compress the file if the portal you are filing to caps the size.
Related documents
All forms- Form SSA-89SSA-89Lets Social Security confirm your number to a company, such as a lender.
- Form SSA-3373SSA-3373Function report: how your condition limits daily activities, for a disability claim.
- Form SSA-561SSA-561Asks Social Security to reconsider a decision you disagree with.
- Form SSA-795SSA-795A signed statement from you or someone else that supports a Social Security claim.
- Form SSA-3441SSA-3441Disability report for an appeal: what changed since your last report.
- Form SSA-521SSA-521Withdraws an application for Social Security benefits.