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Received by NSW/FAR Registration Unit 10/09/2019 9:38:05 AM OMB No. 11240005; Expires May 31, 2020, U.S. Department of Justice Washington, DC 20530Short Form Registration Statement Pursuant to the
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SS-5 form is used to apply for a Social Security card.
Anyone who needs to apply for a Social Security card.
You can fill out the SS-5 form online or by visiting a Social Security office in person.
The purpose of the SS-5 form is to request a new or replacement Social Security card.
Personal information such as name, date of birth, and citizenship status must be reported on the SS-5 form.
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