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Republic of the Philippines) City/Municipality of) Province of) S.S. AFFIDAVIT OF LOSS I, Filipino, of legal age, married/single and residing at, after having been sworn to in accordance with law
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How to fill out ss affidavit of loss

How to fill out an SS affidavit of loss:
01
Obtain the SS affidavit of loss form from the Social Security office or their website.
02
Fill in the personal information section, including your full name, Social Security number, address, and contact information.
03
Provide details about the loss, such as when and where you last had the Social Security card, how it was lost, and any relevant circumstances.
04
If the card was stolen, report the incident to the local law enforcement agency and include a copy of the police report with your affidavit.
05
Sign and date the form, certifying that the information provided is true and accurate to the best of your knowledge.
06
Submit the completed affidavit of loss and any supporting documents to the Social Security office either in person or by mail.
Who needs an SS affidavit of loss:
01
Individuals who have lost their Social Security card or had it stolen.
02
People who need to replace their lost or stolen card and want to prevent any potential misuse of their Social Security number.
03
Anyone applying for government benefits or programs that require a valid Social Security card as identification.
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What is ss affidavit of loss?
The ss affidavit of loss is a legal document used to report the loss of a social security card and request a replacement card.
Who is required to file ss affidavit of loss?
Any individual who has lost their social security card is required to file an ss affidavit of loss.
How to fill out ss affidavit of loss?
To fill out an ss affidavit of loss, you will need to provide your personal information, details about the lost card, and a statement confirming the loss.
What is the purpose of ss affidavit of loss?
The purpose of ss affidavit of loss is to notify the Social Security Administration of the loss of a social security card and request a replacement card.
What information must be reported on ss affidavit of loss?
The ss affidavit of loss must include the individual's full name, social security number, date of birth, contact information, and details about the lost card.
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