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  1. If you download, print and complete a paper form, please mail or take it to your local Social Security office or the office that requested it from you. Important Note: PDFs you open from this page may default to opening within a browser, depending on your browser settings.

  2. Applying for a Social Security Card is free! IMPORTANT: You MUST provide a properly completed application and the required evidence before we can process your application. We can only accept original documents or documents certified by the custodian of the original record.

  3. Note: Social Security Administration staff or others who help people apply for SSI will fill out this form for you.

  4. Supplemental Security Income (SSI) Benefits. If you want to apply for SSI, please read our publication, How Do I Apply For SSI?. If you are applying for disability online, you can also apply for SSI at the same time. Survivors Benefits. You cannot report a death or apply for survivors' benefits online.

  5. I am/We are applying for Supplemental Security Income and any federally administered state supplementation under Title XVI of the Social Security Act, for benefits under the other programs administered by the Social Security Administration, and where applicable, for medical assistance under Title XIX of the Social Security Act.

  6. Where to send this form. Send the completed form to your local Social Security office. If you have any questions, you may call us toll-free at 1-800-772-1213 Monday through Friday from 7 a.m. to 7 p.m. If you are deaf or hard of hearing, you may call our TTY number, 1-800-325-0778.

  7. Our online application is a convenient way to apply on your own schedule, without an appointment. You can also apply by phone or by appointment at a Social Security office. Ready To Retire? Start your application today.

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